MRS. BERNADETTE BOJORGE BAEZ (NPI# 1801103981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801103981 |
| Entity Type | Individual |
| Full Name | MRS. BERNADETTE BOJORGE BAEZ |
| Credential | RN |
| Practice Address |
6821 W Knox Dr Wasilla AK 99654-9293 |
| Practice Telephone | 9073730821 |
| Mailing Telephone | 9073730821 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
28683 | AK | Nursing Service Providers |
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
28683 | AK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669789574 | Bernadette Baez | Physician Assistant | 535 E 70th St, New York, NY 10021-4823 | 2010-09-13 |
| Street Address |
6821 W KNOX DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-9293 |
| 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 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386088664 | Caryn Sue Clements | Registered Nurse | 23001 Sheltering Spruce Ave, Chugiak, AK 99567-5440 | 2013-04-17 |
| 1700092087 | Laurie Johnson | Registered Nurse | 222 Tongas Dr, Sitka, AK 99835 | 2007-05-15 |
| 1417933763 | Judith M. Eller | Registered Nurse | Us Coast Guard Isc Kodiak, Bldg N46, Kodiak, AK 99619-5002 | 2005-12-19 |
| 1205209657 | Margie Lim-morison | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2015-11-06 |
| 1710312194 | Annette Kunigk Mcquilkin | Registered Nurse | 222 Tongass Dr, Searhc - Mt. Edgecumbe Hospital, Sitka, AK 99835-9416 | 2013-09-04 |
| 1952670945 | Kevin Collis | Registered Nurse | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2011-12-20 |
| 1750678116 | Trevor Ellyn Baird | Registered Nurse | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2011-07-06 |
| 1326351339 | Heather Renee Dixon | Registered Nurse | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2010-07-19 |
| 1558504225 | Trena L Dagenhart | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2009-04-10 |
| 1174708473 | Lisa Brooks | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2008-01-04 |
| 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.