ALEXANDRA S WOODSIDE (NPI# 1467079442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467079442 |
| Entity Type | Individual |
| Full Name | ALEXANDRA S WOODSIDE |
| Credential | M.A. |
| Practice Address |
717 E Rezanof Dr Kodiak AK 99615-6416 |
| Mailing Address |
Po Box 3290 Portland OR 97208-3290 |
| Practice Telephone | 9074812400 |
| Practice Fax Number | 9074812419 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AK | Behavioral Health & Social Service Providers |
| Street Address |
717 E REZANOF DR |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477563344 | Providence Health & Services Washington | Psychiatry & Neurology | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2006-08-09 |
| 1376141929 | Providence Kodiak Island Counseling Center | Community/Behavioral Health | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2020-10-15 |
| 1295365732 | Kimberly Katelnikoff | Case Manager/Care Coordinator | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2020-01-23 |
| 1518507029 | Starr Shanley | Case Manager/Care Coordinator | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2020-01-13 |
| 1265915193 | Christine L Foster | Counselor | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2018-09-06 |
| 1285115832 | Laura Lynette Griffin | Case Manager/Care Coordinator | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2018-08-22 |
| 1679053391 | Cynthia Clogston | Case Manager/Care Coordinator | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2018-08-21 |
| 1104310200 | Stephanie M Mccarter | Counselor | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2018-06-21 |
| 1124545991 | Maria Theresa Vitor Cabrera | Registered Nurse | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2017-08-23 |
| 1235676545 | Pureza Villaran | Case Manager/Care Coordinator | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2017-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447683917 | Gary Michael Marlar | Counselor | 717 Rezanof Dr E, Kodiak, AK 99615-6416 | 2013-08-19 |
| 1609106368 | Gregory William Parker | Counselor | 3439 Rezanoff Drive, Kodiak, AK 99615 | 2009-12-31 |
| 1144865130 | Hope Lee Livingston Rustemeyer | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-11-13 |
| 1538600861 | Jade Lutes | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2017-03-20 |
| 1235679473 | Crystaleigh Peacor | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2017-03-07 |
| 1487106605 | Susan B Gaines | Counselor | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-11-04 |
| 1477973089 | Jonathan Strong | Counselor | 717 Rezanof Dr E, Kodiak, AK 99615-6416 | 2014-04-22 |
| 1962835330 | Mary Angelica Guilas-hawver | Counselor | 717 Rezanof Dr E, Kodiak, AK 99615-6416 | 2013-08-20 |
| 1821421173 | James M Price | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2013-08-09 |
| 1295167179 | Benito Artillero Achas | Counselor | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2013-08-02 |
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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.