KATHLEEN BENOIT (NPI# 1689139461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689139461 |
| Entity Type | Individual |
| Full Name | KATHLEEN BENOIT |
| Practice Address |
1401 S Seward Meridian Pkwy Wasilla AK 99654-8312 |
| Practice Telephone | 9073154049 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1684068 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245773449 | Kathleen Benoit | Social Worker | 88 Lincoln St, Framingham, MA 01702-6354 | 2016-11-21 |
| 1912214800 | Kathleen Anne Benoit | Nurse Practitioner | 1400 Computer Dr Ste 301, Westborough, MA 01581-1790 | 2010-09-13 |
| Street Address |
1401 S SEWARD MERIDIAN PKWY |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700207701 | Hearts & Hands of Care | Home Health | 1401 S Seward Meridian Pkwy, Suite A & B, Wasilla, AK 99654-8312 | 2013-12-18 |
| 1023619921 | Cody Ray Holt | Dentist | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2020-11-06 |
| 1790300846 | Courtnie Caywood | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2020-06-15 |
| 1699390823 | Matthew Olson | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2020-06-12 |
| 1417572645 | Sadie Ortega | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2020-06-12 |
| 1235754466 | Nelya Osipyan | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2020-06-12 |
| 1710502943 | Farah Matlock | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2020-06-12 |
| 1053936286 | Viacheslav Osipyan | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2020-06-12 |
| 1801411038 | Truitt Martin | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2020-06-12 |
| 1073138202 | Holly Mitchell | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy, Wasilla, AK 99654-8312 | 2020-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
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| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108995 | Jayme Bonty | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy Ste A&b, Wasilla, AK 99654-8312 | 2020-06-12 |
| 1578109989 | Jennifer Leigh Morehouse | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2019-11-20 |
| 1205471232 | Tamara Wallace | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy Ste Abc, Wasilla, AK 99654-8312 | 2019-11-13 |
| 1013488709 | Billie Jo Hansen | Day Training/Habilitation Specialist | 850 S Roberts St Ste 400, Wasilla, AK 99654-8206 | 2018-12-06 |
| 1972096386 | Kathryn Julia Thomason | Day Training/Habilitation Specialist | 2051 N Ashford Blvd, Wasilla, AK 99654-5346 | 2018-06-11 |
| 1740881549 | Rhonda Lea Matlock | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-11-06 |
| 1912508037 | Crystal Ann Swain | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-11-04 |
| 1407455322 | Kaden Mikhael Worth | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-21 |
| 1154920213 | Leslie Lynn Humphrey | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-20 |
| 1922607084 | Stephanie Dawn Powers | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-20 |
| Find all providers in WASILLA | ||||
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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.