HEIRLOOM WELLNES AND BIRTH LLC (NPI# 1457659906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457659906 |
| Entity Type | Organization |
| Organization Name | HEIRLOOM WELLNES AND BIRTH LLC |
| Other Organization Name | HERITAGE HEALTH AND BIRTH LLC |
| Practice Address |
2323 S Trunk Rd Suite 6 Palmer AK 99645 |
| Practice Telephone | 9077466644 |
| Practice Fax Number | 3176671982 |
| Mailing Telephone | 9077466644 |
| Mailing Fax Number | 3176671982 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | KIRSTEN GERRISH (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9077466644 |
| Authorized Official Credential | CDM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 176B00000X | Midwife | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1657481 | 05 | |
| AK | 1571890 | 05 |
| Other Name | Type Code |
|---|---|
| Heritage Health and Birth LLC | Former Legal Business Name - Organization |
| Street Address |
2323 S TRUNK RD SUITE 6 |
| City | PALMER |
| State | AK |
| Zip Code | 99645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659817484 | Amanda Hart | Massage Therapist | 2323 S Trunk Rd, Suite 6, Palmer, AK 99645-5940 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457626046 | Lena Mcginnis-kilic | Midwife | 7200 E Valley Cir Ste 6, Palmer, AK 99645-5929 | 2012-03-14 |
| 1316246127 | Breanne Nicole Shults | Midwife | 2150 S Nissen Dr, Palmer, AK 99645-9069 | 2011-03-18 |
| 1720223894 | Rebecca Lee Mckimmey | Midwife | 15475 E Rodeo Dr, Palmer, AK 99645-8774 | 2008-12-03 |
| 1679788301 | Holly Marie Steiner | Midwife | 342 S Alaska St, Palmer, AK 99645-6336 | 2007-05-14 |
| 1275667800 | Kirsten A Gerrish | Midwife | 403 S Alaska St, Palmer, AK 99645-6339 | 2007-03-15 |
| 1720598527 | Melanie Ann Hansen | Midwife | 342 S Alaska St, Palmer, AK 99645-6336 | 2017-10-05 |
| 1275087397 | Mary Yanagawa | Midwife | 780 S Snodgrass Dr, Palmer, AK 99645-9149 | 2016-08-05 |
| 1770834871 | Tara M Kramer Elrod | Midwife | 780 S Snodgrass Dr, Palmer, AK 99645-9149 | 2012-09-28 |
| 1023375383 | Onica Sprokkreeff | Midwife | 7200 E Valley Cir, Suite #6, Palmer, AK 99645-5929 | 2012-04-11 |
| 1396054615 | Stella Lyn | Midwife | 642 S Alaska St, Suite 217, Palmer, AK 99645-6342 | 2010-10-04 |
| Find all providers in PALMER | ||||
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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.