MS. CARRIE CARL ENOCH (NPI# 1639372485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639372485 |
| Entity Type | Individual |
| Full Name | MS. CARRIE CARL ENOCH |
| Practice Address |
700 Cheif Eddie Hoffman Highway Bethel AK 99559 |
| Mailing Address |
Po Box 2493 Bethel AK 99559-2493 |
| Practice Telephone | 9075436300 |
| Practice Fax Number | 9075436366 |
| Mailing Telephone | 9075436000 |
| Mailing Fax Number | 9075436618 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | YKHC BILLING NUMBER | CCE87617 | 01 |
| Street Address |
700 CHEIF EDDIE HOFFMAN HIGHWAY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376803031 | Dustin Edward Boller | Pharmacist | 700 Cheif Eddie Hoffman Highway, Bethel, AK 99559 | 2012-05-29 |
| 1912142340 | Rose M Long | Day Training/Habilitation Specialist | 700 Cheif Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| Find all providers in zip 99559 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238321 | Amanda Andrade | Specialist | 40 Whippoorwill Rd, Bethel, CT 06801-2723 | 2019-01-03 |
| 1073069704 | Marissa Danko | Specialist | 8 Oak Ridge Rd, Bethel, CT 06801-1148 | 2016-09-01 |
| 1982159018 | Jane Rosenberg | Specialist | 26 Briar Ridge Dr, Bethel, CT 06801-1883 | 2016-08-18 |
| 1972990349 | Vicki Clark | Specialist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2015-04-23 |
| 1073710281 | Samantha Renee Epchook | Specialist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2007-06-29 |
| 1720281579 | Maribeth Ayagalria | Specialist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-06-08 |
| 1891998647 | Caroline Cynthia Nevak | Specialist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790742 | Danielle M Hall | Specialist | 2925 Debarr Rd Ste 399, Anchorage, AK 99508-2966 | 2018-11-27 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1811406143 | Joshua Hawley | Specialist | 43335 Kalifornsky Beach Rd Ste 25, Soldotna, AK 99669-8280 | 2017-09-29 |
| 1235668443 | Aimee M Hull-malnoske | Specialist | 22211 Brownie Dr, Eagle River, AK 99577-9520 | 2017-06-09 |
| 1982145637 | The Oriental Healing Arts Center LLC | Specialist | 2636 Spenard Rd, Anchorage, AK 99503-2336 | 2017-03-14 |
| 1720522410 | Rebecca Carter | Specialist | 5013 Marlowe Ave, A, Anchorage, AK 99508-3738 | 2016-12-14 |
| 1942744875 | Samantha Lange | Specialist | 11421 Old Glenn Hwy Ste 101, Eagle River, AK 99577-7783 | 2016-12-12 |
| 1770035883 | Anne Honer | Specialist | 8641 Brookway Cir, Anchorage, AK 99504-4274 | 2016-10-25 |
| 1548711005 | Gordon Jay Wallis | Specialist | 142 W 5th Ave, Anchorage, AK 99501-2522 | 2016-10-19 |
| 1194272971 | William L Emery | Specialist | 3789 Blessing Ave, North Pole, AK 99705-6535 | 2016-09-08 |
| Find all providers with the same taxonomy | ||||
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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.