MRS. AMANDA SHAVINGS (NPI# 1720356520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720356520 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA SHAVINGS |
| Other Name | AMANDA WILLIAMS |
| Credential | PDHA 1 |
| Practice Address |
829 Chief Eddie Hoffman Highway Bethel AK 99559-0528 |
| Mailing Address |
Po Box 86 Mekoryuk AK 99630-0086 |
| Practice Telephone | 9078278111 |
| Practice Fax Number | 9078278351 |
| Mailing Telephone | 9078272078 |
| Mailing Fax Number | 9078278351 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
11-082-PDHA1 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PDHA 1 CERTIFICATION NUMBER | 11-082-PDHA1 | 01 |
| Street Address |
829 CHIEF EDDIE HOFFMAN HIGHWAY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559-0528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879998 | Deirdre M Piotrowski | Social Worker | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2005-05-31 |
| 1093200289 | Deborah A Michael | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2018-06-29 |
| 1417409210 | Colby Haines | Dentist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2016-10-27 |
| 1437521713 | Anne Marie Harper | Dietitian, Registered | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-10-26 |
| 1013391382 | Pamela Chaliak | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2015-07-16 |
| 1720462146 | Sarah Jasper | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-07-15 |
| 1356734511 | Jennifer Bierley | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-03-12 |
| 1134512676 | Angelica Afcan | Dental Therapist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-03-09 |
| 1245621192 | Berntina Sankwich | Counselor | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-02-13 |
| 1235535816 | Brittany Demientieff | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Suite 150, Bethel, AK 99559 | 2014-11-10 |
| Find all providers in the same location | ||||
| 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 | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1437542594 | Raymond Reeves | Dentist | 216 Dalton Street, Suite 102, Haines, AK 99827 | 2015-03-13 |
| 1992877385 | Charles Richard Hazen | Dentist | 131 1st Ave. South, Haines, AK 99827-1529 | 2006-11-14 |
| 1255837720 | Joseph Robert Sem | Dentist | 1000 Greg Kruschek Ave, Nome, AK 99762-9976 | 2018-04-03 |
| 1770847642 | Roseann Marie Dameron | Dentist | 1717 West Cowles Street, Fairbanks, AK 99701-4803 | 2012-06-26 |
| 1194018747 | Marc Desjarlais | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2011-05-16 |
| 1609031285 | Andrew James Wappett | Dentist | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2008-07-23 |
| 1497957278 | Maniilaq Association | Dentist | 436 5th & Ted Stevens Way, Kotzebue, AK 99752 | 2007-06-04 |
| 1437233277 | Lucia Helena Nascimento | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2006-10-25 |
| 1255362901 | Michael Richard Kwasinski | Dentist | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2006-07-05 |
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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.