SEAN THEODORE WILLIAMS (NPI# 1447863089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447863089 |
| Entity Type | Individual |
| Full Name | SEAN THEODORE WILLIAMS |
| Practice Address |
3600 San Jeronimo Dr Ste 210 Anchorage AK 99508-2870 |
| Practice Telephone | 9077933226 |
| Mailing Telephone | 9077933226 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376512 | Sean Theron Williams | Dentist | 13576 Nw 2nd Ln Ste 30, Newberry, FL 32669-3736 | 2017-06-20 |
| 1134151202 | Sean Williams | Physical Therapist | 4393 Sw 130th Ave, Davie, FL 33330-4730 | 2006-07-07 |
| 1962010066 | Sean V Williams | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-07-15 |
| 1811541857 | Sean Lamar Williams | Behavior Technician | 7720 Cowboy Trl, Las Vegas, NV 89131-2131 | 2019-07-29 |
| 1548780091 | Sean Williams | Behavior Technician | 2317 24th Ave E, Seattle, WA 98112-2606 | 2017-06-26 |
| 1417488354 | Sean Williams | Emergency Medicine | 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 | 2017-03-22 |
| 1013375229 | Sean Williams | Counselor | 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 | 2016-02-02 |
| 1467827386 | Sean Williams | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2015-12-03 |
| 1255712626 | Sean Thomas Williams | Emergency Medicine | 5645 W Addison St, Dept of Emergency Medicine, Chicago, IL 60634-4403 | 2015-06-11 |
| 1750709317 | Sean Williams | Military Health Care Provider | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2014-04-01 |
| Street Address |
3600 SAN JERONIMO DR STE 210 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437380391 | James L Christmas IIi | Social Worker | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2009-07-27 |
| 1548868961 | Ashlee Grzembski | Rehabilitation, Substance Use Disorder Unit | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-10-16 |
| 1427655778 | Nathan Mathias Starbard | Driver | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-10-08 |
| 1164029609 | Christina Elliott | Counselor | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-10-07 |
| 1518573989 | Teresa Elaine Doyle | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-09-21 |
| 1154956894 | Jessica Raymond | Counselor | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-03-03 |
| 1861039489 | Kayli Hildebrand | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2019-12-02 |
| 1346890647 | James Mckinley Savage | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2019-09-18 |
| 1649820960 | Ashley Morehead | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2019-09-18 |
| 1891345344 | Thomas Abane Baye | Counselor | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2019-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998223 | Patricia Main | Peer Specialist | 2601 W 34th Ave Apt 7, Anchorage, AK 99517-2142 | 2020-10-07 |
| 1811534803 | Colleen H Ward-wilson | Peer Specialist | 3600 San Jeronimo Dr Ste 300, Anchorage, AK 99508-2870 | 2019-12-09 |
| 1538701222 | Betty Jo Shepherd-hebb | Peer Specialist | 4110 Debarr Rd Spc G17, Anchorage, AK 99508-3176 | 2019-10-14 |
| 1194366088 | Matalena Suitupe Lokeni | Peer Specialist | 7650 Mayfair Dr Apt C, Anchorage, AK 99502-7212 | 2019-10-02 |
| 1629676192 | Harrison Mann | Peer Specialist | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-15 |
| 1518573989 | Teresa Elaine Doyle | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-09-21 |
| 1962013656 | Erica Lu Nielsen | Peer Specialist | 3760 Piper St Ste 1090, Anchorage, AK 99508-4683 | 2020-08-14 |
| 1407485154 | Cortney Anderson | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-04-05 |
| 1013543800 | Robert Lee Seay II | Peer Specialist | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2020-03-12 |
| 1023641412 | Rashad Dominic Arnsworth | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-02-13 |
| Find all providers in ANCHORAGE | ||||
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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.