KENAITZE INDIAN TRIBE (NPI# 1457491409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457491409 |
| Entity Type | Organization |
| Organization Name | KENAITZE INDIAN TRIBE |
| Other Organization Name | NAKENU FAMILY CENTER |
| Practice Address |
110 N Willow St Kenai AK 99611-7701 |
| Mailing Address |
110 N. Willow Kenai AK 99611 |
| Practice Telephone | 9072836693 |
| Practice Fax Number | 9072837088 |
| Mailing Telephone | 9072836693 |
| Mailing Fax Number | 9072837088 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JENNIFER YEOMAN (HUMAN SRVS DIRECTOR) |
| Authorized Official Telephone | 9072836693 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 101YP2500X |
Counselor Specialization: Professional |
AK | Behavioral Health & Social Service Providers | |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MH2436 | 05 | |
| AK | DA5032 | 05 |
| Other Name | Type Code |
|---|---|
| Nakenu Family Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295972677 | Kenaitze Indian Tribe | Dentist | 412 Frontage Rd, Suite 20, Kenai, AK 99611-7770 | 2009-01-07 |
| 1578774105 | Kenaitze Indian Tribe | Home Health | 1000 Mission Ave, Kenai, AK 99611-8015 | 2007-05-25 |
| 1932114600 | Kenaitze Indian Tribe | Clinic/Center | 508 Upland Street, Kenai, AK 99611 | 2006-07-30 |
| 1699986687 | Kenaitze Indian Tribe | Community/Behavioral Health | 110 N Willow St, Kenai, AK 99611-7701 | 2007-05-24 |
| 1023229010 | Kenaitze Indian Tribe | Clinic/Center | 110 N Willow St, Kenai, AK 99611-7701 | 2007-05-24 |
| Street Address |
110 N WILLOW ST |
| City | KENAI |
| State | AK |
| Zip Code | 99611-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134131048 | Michael J Wolfe | Social Worker | 110 N Willow St, Kenai, AK 99611-7701 | 2006-08-12 |
| 1154639763 | Timothy Gillis | Counselor | 110 N Willow St, Kenai, AK 99611-7701 | 2010-09-16 |
| 1699986687 | Kenaitze Indian Tribe | Community/Behavioral Health | 110 N Willow St, Kenai, AK 99611-7701 | 2007-05-24 |
| 1023229010 | Kenaitze Indian Tribe | Clinic/Center | 110 N Willow St, Kenai, AK 99611-7701 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245892744 | Christy Lynn Walker | Counselor | 47480 Kristina Way, Kenai, AK 99611-5902 | 2019-07-03 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1881805984 | Kimberly Ann Haviland | Counselor | 11312 Kenai Spur Hwy, Suite 39, Kenai, AK 99611-7754 | 2007-05-24 |
| 1720689607 | Heidi Wynne King | Counselor | 47480 Kristina Way, Kenai, AK 99611-5902 | 2020-11-05 |
| 1760089528 | Amanda M Hanson | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2020-10-05 |
| 1376104687 | Diane Carol Ogilvie | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-06-26 |
| 1285299792 | Joni Gray | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-05-09 |
| 1528623741 | Spring E Larrow | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-05-02 |
| 1629631486 | Patricia Marston | Counselor | 508 Upland St, Kenai, AK 99611-8026 | 2019-04-17 |
| 1144782657 | Alecia Ann Gottlob | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-04-03 |
| Find all providers in KENAI | ||||
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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.