TERRY LYNN TUTTLE (NPI# 1013129253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013129253 |
Entity Type | Individual |
Full Name | TERRY LYNN TUTTLE |
Credential | PHD |
Practice Address |
900 Chief Eddie Hoffman Highway Bethel AK 99559 |
Mailing Address |
171 Mission Lake Po Box 1686 Bethel AK 99559-1686 |
Practice Telephone | 9075436100 |
Mailing Telephone | 9075453815 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2012-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
725 | AK | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | MH0150 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831147719 | Terry Leora Tuttle | Licensed Practical Nurse | 763 Dewey Extension Rd, Lucasville, OH 45648-8763 | 2006-05-04 |
Street Address |
900 CHIEF EDDIE HOFFMAN HIGHWAY |
City | BETHEL |
State | AK |
Zip Code | 99559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386257988 | Jennifer A Amigliore | Community Health Worker | 900 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2020-08-25 |
1134667983 | Richard Lincoln IIi | Community Health Worker | 900 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2017-02-01 |
1215387972 | Katherine Evon | Community Health Worker | 900 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2016-06-14 |
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 | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902438666 | Rachel Lebetkin | Counselor | 47 Bethpage Dr, Bethel, CT 06801-2303 | 2020-02-10 |
1336790211 | Susan Kudrak | Counselor | 35 Judd Ave, Bethel, CT 06801-1538 | 2019-09-23 |
1861800625 | Barbara Kelly, Lpc | Counselor | 153 Greenwich Avenue, Barbara Kelly, Lpc, Bethel, CT 06801 | 2014-07-24 |
1134557689 | Carol Reilly Lcc | Counselor | 101 Chestnut St Apt H, Bethel, CT 06801-2660 | 2013-10-19 |
1023120722 | Mary Elizabeth Mcdonald | Counselor | 5016 Noel Polty Blvd., Bethel, AK 99559-1029 | 2006-08-31 |
1679542484 | Peter Robert Hergenroether | Counselor | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2006-03-15 |
1750370433 | Christopher S. Byrnes | Counselor | 833 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2005-10-17 |
1235620154 | Samantha Bachman LLC | Counselor | 14 Depot Pl Fl 1, Bethel, CT 06801-2540 | 2018-05-25 |
1346731262 | Samantha Bachman | Counselor | 14 Depot Pl Fl 1, Bethel, CT 06801-2540 | 2018-05-25 |
1346788080 | Janet Lighthill | Counselor | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 | 2017-02-02 |
Find all providers in BETHEL |
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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.