DR. JACQUELYNE R BODEA (NPI# 1225100118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225100118 |
| Entity Type | Individual |
| Full Name | DR. JACQUELYNE R BODEA |
| Credential | DNP, CNM, WHNP |
| Practice Address |
436 5th Ave Kotzebue AK 99752 |
| Mailing Address |
34 Lobo Trl Morganton GA 30560-2685 |
| Practice Telephone | 9074423321 |
| Mailing Telephone | 7068176966 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | RN102394 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | MW010131 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
436 5TH AVE |
| City | KOTZEBUE |
| State | AK |
| Zip Code | 99752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720034556 | Theresa Kouadio | Nurse Practitioner | 436 5th Ave, Kotzebue, AK 99752 | 2006-05-25 |
| 1578102307 | Julian Chismar | Dietitian, Registered | 436 5th Ave, Kotzebue, AK 99752 | 2019-12-26 |
| 1962905299 | Darien Jade Sanchez | Dental Hygienist | 436 5th Ave, Kotzebue, AK 99752 | 2018-03-13 |
| 1285156448 | Michael Dwayne Steward | Nurse Practitioner | 436 5th Ave, Kotzebue, AK 99752 | 2017-07-10 |
| 1962940304 | Mark Alan Nelson | Physician Assistant | 436 5th Ave, Medical Services, Maniilaq Health Center, Kotzebue, AK 99752 | 2017-02-06 |
| 1194171694 | Kiel Patrick Couch | Registered Nurse | 436 5th Ave, Kotzebue, AK 99752 | 2016-05-13 |
| 1851506927 | Mary Lowrey | Registered Nurse | 436 5th Ave, Maniilaq Health Center, Kotzebue, AK 99752-0043 | 2007-05-11 |
| 1093876138 | Mark Conrad Stover | Emergency Medicine | 436 5th Ave, Kotzebue, AK 99752 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770103731 | Breanna Rosales | Counselor | 433 5 Th Ave, Kotzebue, AK 99752 | 2020-04-20 |
| 1679118814 | Verna Mariam Sherman | Case Manager/Care Coordinator | 733 2nd Ave., Kotzebue, AK 99752 | 2019-11-12 |
| 1568979565 | John Steven Ferraro | Counselor | 733 2'nd Ave, Kotzebue, AK 99752 | 2017-12-29 |
| 1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
| 1366998114 | Alaskans Changing Together, Inc. | Counselor | 241 5th Ave, Kotzebue, AK 99752 | 2016-08-31 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
| 1881941193 | Belynda M. Gregg | Case Manager/Care Coordinator | 256 2nd Ave, F.r. Ferguson Building, Kotzebue, AK 99752 | 2012-08-07 |
| 1689932436 | Srikanth Rao Dakoji | Family Medicine | 479 Mission St, Apt C8, Kotzebue, AK 99752 | 2012-04-30 |
| 1932434792 | Joseph E Copeland | Family Medicine | Maniilaq Healh Center, Box 43, Kotzebue, AK 99752 | 2009-10-13 |
| Find all providers in zip 99752 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
| 1124219191 | Sandra Lee Cook | Advanced Practice Midwife | 436 & 5th Street Ted Stevens Way, Maniilaq Health Center, Kotzebue, AK 99752 | 2007-08-06 |
| 1356658728 | Susan F Hearin | Advanced Practice Midwife | 436 Ted Stevens Way, Kotzebue, AK 99752-0043 | 2010-09-08 |
| 1427093772 | Morgan D Jones | Advanced Practice Midwife | 436 5th & Ted Stevens Way, Kotzebue, AK 99752 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751247 | Midwifery Options LLC | Advanced Practice Midwife | 2454 W Ben Hogan Ave Apt 4, Wasilla, AK 99623-0042 | 2020-08-21 |
| 1518503705 | Clarissa Lynn Christensen | Advanced Practice Midwife | 1867 Airport Way Ste 160b, Fairbanks, AK 99701-4062 | 2019-11-21 |
| 1205173465 | Rose M Williams | Advanced Practice Midwife | 10425 E Bradley Lake Ave, Palmer, AK 99645-8205 | 2013-01-08 |
| 1801183728 | A Woman's Place LLC | Advanced Practice Midwife | 1601 Tongass Ave, Suite 100, Ketchikan, AK 99901-6800 | 2011-06-29 |
| 1801119219 | A Womans Place | Advanced Practice Midwife | 355 Carlanna Lake Rd, Lower, Ketchikan, AK 99901-5614 | 2010-03-12 |
| 1366686347 | Ann Thomas King | Advanced Practice Midwife | 35670 Kenai Spur Hwy Ste 101a, Soldotna, AK 99669-7649 | 2009-04-22 |
| 1871718163 | Midwifery & Women's Health Care At Geneva Woods | Advanced Practice Midwife | 3730 Rhone Cir Ste 102, Anchorage, AK 99508-5054 | 2007-04-13 |
| 1073671822 | Georgann Mcbrayer | Advanced Practice Midwife | 930 Ellesmere Dr, Fairbanks, AK 99709-9970 | 2006-12-05 |
| 1831274760 | Nancy Nelson | Advanced Practice Midwife | 36121 Mayoni St., Soldotna, AK 99669-4267 | 2006-10-26 |
| 1609957349 | Northern Nursing Services, Inc. | Advanced Practice Midwife | 36121 Mayoni Street, Soldotna, AK 99669-4267 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
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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.