ANDREW MOFFITT


Address: 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062
Phone: 9073130914

ANDREW MOFFITT (NPI# 1215581988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215581988
Entity Type Individual
Full Name ANDREW MOFFITT
Credential PSS
Practice Address 591 S Knik Goose Bay Rd
Wasilla
AK 99654-8062
Practice Telephone 9073130914
Practice Fax Number 9073578781
Mailing Telephone 9073130914
Mailing Fax Number 9073578781
Enumeration Date 2019-07-30
Last Update Date 2020-03-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7010 E Bogard Rd, Wasilla, AK 996544711 9073734732
545 S Knik Goose Bay Rd, Wasilla, AK 996548171 9073130914

Other Providers ANDREW MOFFITT

NPI Name Taxonomy Address Enumeration
1851477020 Andrew R Moffitt Dentist 502 Jefferson Hwy, Champlin, MN 55316 2006-10-31

Office Location

Street Address 591 S KNIK GOOSE BAY RD
City WASILLA
State AK
Zip Code 99654-8062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558806604 Brandy Stevens Counselor 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2016-12-28
1912506098 Christopher Johnson Peer Specialist 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-10-20
1003420183 Brittany Lynne Russell Peer Specialist 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-09-04
1518578020 Holly A Hoff Counselor 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-08-10
1508476268 Kenneth Dwayne Neill Peer Specialist 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-08-06
1114544152 Johnathan Skoog Peer Specialist 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-06-25
1427673425 Hannah Rogers Peer Specialist 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-06-15
1114542677 Anne Benson Peer Specialist 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-06-10
1942829460 True North Recovery Inc. Substance Abuse Rehabilitation Facility 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-04-14
1912530197 Sean Morton Peer Specialist 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-02-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003426784 Colleen Maggie Newcity Case Manager/Care Coordinator 851 Westpoint Suite 310, Wasilla, AK 99654 2020-08-06
1659995884 Amy M Lowe Peer Specialist 1363 W Spuce Ave, Wasilla, AK 99654 2020-06-03
1922648690 Achieve Medical Alaska LLC Clinic/Center 1981 E Palmer, Suite 230, Wasilla, AK 99654 2020-01-10
1588205538 Juan Carlos Garcia Physician Assistant 950 East Bogard Road, Suite 103, Wasilla, AK 99654 2019-10-01
1427610864 Sharon Webb Counselor 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 2019-07-06
1306401864 Logan Lee Cook Peer Specialist 2953 E Fairview Loop, Wasilla, AK 99654 2019-05-09
1053883595 Moose Creek Medical Clinic LLC Nurse Practitioner 2341 S. Fern St., Suite 300, Wasilla, AK 99654 2018-12-21
1487124962 Melissa A Stevens Massage Therapist 2201 W That Rd, Wasilla, AK 99654 2018-11-28
1609359561 Audrey E Beers Midwife 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 2018-09-07
1093297418 Karlee Janine Mccorry Occupational Therapist 613 S Knik-goose Bay Rd, Wasilla, AK 99654 2018-09-01
Find all providers in zip 99654

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003426784 Colleen Maggie Newcity Case Manager/Care Coordinator 851 Westpoint Suite 310, Wasilla, AK 99654 2020-08-06
1922625276 Heather Tenboer Case Manager/Care Coordinator 3480 W Birch Meadows Rd, Wasilla, AK 99654-0534 2020-07-02
1245850403 Positive Path LLC Case Manager/Care Coordinator 7647 W Tia Terrace Dr, Wasilla, AK 99623-0332 2020-04-17
1093361065 Chad A Stone Case Manager/Care Coordinator 2619 N Chiquita Cielo Dr, Wasilla, AK 99654-3579 2019-08-14
1063071660 Links Mat-su Parent Resource Center Case Manager/Care Coordinator 777 N Crusey St Ste A101, Wasilla, AK 99654-7100 2019-06-07
1801450382 Desiree Feringa Case Manager/Care Coordinator 6640 S Calista Drive, Wasilla, AK 99623 2019-04-30
1649737206 Donald Cox Case Manager/Care Coordinator 777 N Crusey St Ste B101, Wasilla, AK 99654-7101 2019-03-01
1427545615 Rebecca Racenet Case Manager/Care Coordinator 4801 S Timberline Cir, Wasilla, AK 99654-8750 2018-04-13
1952806283 Shelia M Hansen Case Manager/Care Coordinator 500 E Swanson Ave Ste 5, Wasilla, AK 99654-7197 2018-03-28
1396255592 Juanita C White Case Manager/Care Coordinator 4001 E Ruth Dr Unit C, Wasilla, AK 99654-7546 2017-10-03
Find all providers in WASILLA

Competitor

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City WASILLA
Zip Code 99654

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Dataset Information

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.

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