THEODORE OWEN PEELE (NPI# 1598230369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598230369 |
| Entity Type | Individual |
| Full Name | THEODORE OWEN PEELE |
| Practice Address |
8th Street Ext Hydaburg AK 99922-0069 |
| Mailing Address |
Po Box 69 Hydaburg AK 99922-0069 |
| Practice Telephone | 9072853462 |
| Practice Fax Number | 9072853464 |
| Mailing Telephone | 9072853462 |
| Mailing Fax Number | 9072853464 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
8TH STREET EXT |
| City | HYDABURG |
| State | AK |
| Zip Code | 99922-0069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457084 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | Eight Street Extension, Hydaburg, AK 99922 | 2020-01-30 |
| 1073728168 | South East Alaska Regional Health Consortium | Clinic/Center | 8 Extension, Hydaburg, AK 99922 | 2007-05-11 |
| 1174865976 | Joseph Edward Sanderson | Community Health Worker | 8th Street Extension, Hydaburg, AK 99922-0000 | 2013-03-20 |
| 1831431063 | Anna D Frisby | Physician Assistant | 8th Street Extension, Hydaburg, AK 99922-0069 | 2013-03-26 |
| 1639297534 | Catholic Community Service | Case Management | Cedar Street, Hydaburg, AK 99922-0342 | 2007-03-27 |
| 1922569540 | Hydaburg City School District | Counselor | 100 Totem Park Lane, Hydaburg, AK 99922-9992 | 2019-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457084 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | Eight Street Extension, Hydaburg, AK 99922 | 2020-01-30 |
| 1922569540 | Hydaburg City School District | Counselor | 100 Totem Park Lane, Hydaburg, AK 99922-9992 | 2019-03-27 |
| 1174865976 | Joseph Edward Sanderson | Community Health Worker | 8th Street Extension, Hydaburg, AK 99922-0000 | 2013-03-20 |
| 1073728168 | South East Alaska Regional Health Consortium | Clinic/Center | 8 Extension, Hydaburg, AK 99922 | 2007-05-11 |
| 1639297534 | Catholic Community Service | Case Management | Cedar Street, Hydaburg, AK 99922-0342 | 2007-03-27 |
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710157 | Ida Brothers | Counselor | 2705 W 67th Ave, Anchorage, AK 99502-2222 | 2020-11-04 |
| 1801497912 | Christian E Odom | Counselor | 550 S Alaska St Ste 202, Palmer, AK 99645-6372 | 2020-11-04 |
| 1215538681 | Kory Labbe | Counselor | 124 Tok Cut Off, Tok, AK 99780 | 2020-11-03 |
| 1831799287 | Martina A Diamond | Counselor | 3616 Peterkin Ave, Anchorage, AK 99508-1131 | 2020-10-27 |
| 1598362972 | Annette F Wilson | Counselor | 5674 Alora Loop, Anchorage, AK 99504-1050 | 2020-10-08 |
| 1386241917 | Jerome Donald Velcheff | Counselor | 719 Edward St # B, Anchorage, AK 99504-1664 | 2020-10-06 |
| 1386241313 | Lori Ann Velcheff | Counselor | 6800 Howard Ave, Anchorage, AK 99504-1870 | 2020-10-02 |
| 1063019107 | Katherine Patricia Jerue | Counselor | 632 W 15th Ave, Anchorage, AK 99501-5006 | 2020-10-01 |
| 1518564772 | Michelle Deboarh Burlin | Counselor | 3005 Clinton Dr Unit A4, Juneau, AK 99801-7167 | 2020-10-01 |
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
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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.