ANDREW PALM (NPI# 1134464712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134464712 |
| Entity Type | Individual |
| Full Name | ANDREW PALM |
| Credential | RN |
| Practice Address |
1490 State Hwy Bethel AK 99559-1048 |
| Mailing Address |
Po Box 1048, 1490 State Hwy Bethel AK 99559-1048 |
| Practice Telephone | 9075432110 |
| Practice Fax Number | 9075430436 |
| Mailing Telephone | 9075432110 |
| Mailing Fax Number | 9075430436 |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2017-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 117491 | AK | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 657175 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477616431 | Andrew S Palm | Optometrist | 3800 State Road 16, Ste 103 Valley View Mall, La Crosse, WI 54601-1826 | 2006-12-19 |
| Street Address |
1490 STATE HWY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245736735 | Sara Omary | Registered Nurse | 1490 State Hwy, Bethel, AK 99559 | 2018-04-03 |
| 1861943276 | Judito Acido Cabusao | Registered Nurse | 1490 State Hwy, Bethel, AK 99559-1911 | 2016-10-20 |
| 1114311545 | Soohyun Kim | Registered Nurse | 1490 State Hwy, Bethel, AK 99559 | 2015-03-24 |
| 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 | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467096362 | Jessica Cordes | Registered Nurse | 123 Harris Ave, Bethel, OH 45106-8314 | 2019-11-04 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1093166860 | Tammy Kaboord | Registered Nurse | 1490 Eddie Hoffman Hwy, Bethel, AK 99559-1048 | 2016-06-23 |
| 1306215082 | Angela Roberts | Registered Nurse | 12950 St Rte 774, Bethel, OH 45106-8629 | 2015-09-23 |
| 1013301175 | Mary Berliner | Registered Nurse | 1490 Eddie Hioffman Hwy, Bethel, AK 99559 | 2015-03-26 |
| 1073906285 | Katy Krings | Registered Nurse | 1490 State Highway, Bethel, AK 99559-1048 | 2015-03-12 |
| 1699168815 | Evelina Achee | Registered Nurse | 1490 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2015-03-12 |
| 1164815486 | Ju Young Lee | Registered Nurse | 1490 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-03-11 |
| 1104221449 | Valorie Frondorf | Registered Nurse | 3017 Lake Trail Ln, Bethel, OH 45106-8373 | 2014-10-29 |
| 1639573983 | Jane Hennies | Registered Nurse | 3179 Kennedy Ford Rd, Bethel, OH 45106-8336 | 2014-10-15 |
| 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.