MAY PRUNES (NPI# 1003023102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003023102 |
Entity Type | Individual |
Full Name | MAY PRUNES |
Practice Address |
700 Chief Eddie Hoffman Highway Bethel AK 99559 |
Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
Practice Telephone | 9075436300 |
Practice Fax Number | 9075436366 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 372600000X | Adult Companion | Nursing Service Related Providers | ||
X | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
Street Address |
700 CHIEF EDDIE HOFFMAN HIGHWAY |
City | BETHEL |
State | AK |
Zip Code | 99559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215928627 | Matthew Todd Warren | Radiology | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2005-11-03 |
1043843683 | Alicia Paula Koffi | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2020-02-21 |
1861043564 | Ashley Lourilea Hunsucker | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2019-09-24 |
1619330230 | Amber Leigh Colvin | Dietitian, Registered | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2016-03-31 |
1073970745 | Jeremiah Lee Britton | Dietitian, Registered | 700 Chief Eddie Hoffman Highway, Diabetes Prevention and Control Attn: Jeremiah Britton, Bethel, AK 99559 | 2016-01-26 |
1528434016 | Michelle M Carl | Technician, Other | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0700 | 2015-08-19 |
1184026908 | Agnes Changsak | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-09-24 |
1801201611 | Virginia Lozano | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-07-01 |
1699188581 | Ernest Phillip | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2014-06-09 |
1467875120 | Beverly Wulf | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-01-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
Find all providers in zip 99559 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487164794 | Edwin M Almonte | Adult Companion | 8 Library Pl, Bethel, CT 06801-2106 | 2017-10-02 |
1346430642 | Olga Phillips | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-08-01 |
1689876773 | Jennifer Henry | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2007-06-01 |
1730381807 | Nastasia Hawk | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AL 99559-0287 | 2007-06-01 |
1417161092 | Julia B. Andrew | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-10 |
1588878151 | Lucy S. Jones | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2007-05-10 |
1912111584 | Mary E Lupie | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-10 |
1366656936 | Marie J. Larson | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-10 |
1700090412 | Annie Egoak | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-10 |
1629282678 | Maryjane Jackson | Adult Companion | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.