KODIAK AREA NATIVE ASSOCIATION (NPI# 1801187471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801187471 |
| Entity Type | Organization |
| Organization Name | KODIAK AREA NATIVE ASSOCIATION |
| Practice Address |
3449 E Rezanof Dr Kodiak AK 99615-6952 |
| Mailing Address |
Po Box 5009 Akhiok AK 99615-5009 |
| Practice Telephone | 9074869800 |
| Mailing Telephone | 9078362208 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |
| Authorized Official Name | MRS. JUDY MARIE SIMEONOFF (BEHAVIORAL HEALTH AIDE III) |
| Authorized Official Telephone | 9078362208 |
| Authorized Official Credential | CDC I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093213167 | Kodiak Area Native Association | Clinic/Center | 1317 Mill Bay Rd, Kodiak, AK 99615-6411 | 2018-01-24 |
| 1467801753 | Kodiak Area Native Association | Clinic/Center | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2016-06-07 |
| 1174948665 | Kodiak Area Native Association | Case Management | 3449 Rezanof Dr E, Kodiak, AK 99615-6952 | 2014-02-20 |
| 1679514236 | Kodiak Area Native Association | Clinic/Center | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2006-06-08 |
| 1205883907 | Kodiak Area Native Association | Clinic/Center | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2006-05-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KODIAK AREA NATIVE ASSOCIATION | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 |
| Street Address |
3449 E REZANOF DR |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437104940 | Heidi Coryell Lowrey Baines | Family Medicine | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2006-05-23 |
| 1740881069 | Hannah Gordon | Social Worker | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-11-03 |
| 1174124473 | Sarah Marie Davidson | Social Worker | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-11-03 |
| 1366041915 | Janna Lacroix | Case Manager/Care Coordinator | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-10-23 |
| 1679100515 | Melissa Marie Anderson | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-03-23 |
| 1073158093 | Michael Hanrahan | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-11-13 |
| 1144865130 | Hope Lee Livingston Rustemeyer | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-11-13 |
| 1326680760 | Susana Dorian Bennett-melendez | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-10-16 |
| 1134761364 | Paige Buer | Physician Assistant | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-10-09 |
| 1073175212 | Jordan Beard | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770918732 | Providence Health and Services | Clinic/Center | 717 Rezanof Dr E, Kodiak, AK 99615-6416 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652662 | Southcentral Foundation | Clinic/Center | 26341 Eklutna Village Rd, Chugiak, AK 99567-5148 | 2018-09-14 |
| 1881047108 | Aleutian Pribilof Islands Association | Clinic/Center | 111 Lakeview Rd., Nikolski, AK 99638 | 2016-07-21 |
| 1609232040 | Southcentral Foundation | Clinic/Center | 101 Indian Creek Road, Tyonek, AK 99682 | 2016-01-14 |
| 1235595562 | Chitina Traditional Indian Village Council | Clinic/Center | Mile 28.5 Edgerton Hwy, Chitina, AK 99566 | 2015-12-31 |
| 1770953903 | Southcentral Foundation | Clinic/Center | 1 Flight Line Rd, Port Alsworth, AK 99653-9801 | 2015-09-30 |
| 1144699216 | Southcentral Foundation | Clinic/Center | 4030 Salmon Way, Iguigig, AK 99613 | 2015-09-18 |
| 1295104644 | Southcentral Foundation | Clinic/Center | 102 Fireweed Lane, Newhalen, AK 99606 | 2015-09-16 |
| 1952770307 | Southcentral Foundation | Clinic/Center | 2516 Mountain Circle, Pedro Bay, AK 99647 | 2015-09-16 |
| 1205255957 | Front Street Health Center | Clinic/Center | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2014-04-09 |
| 1043632037 | Southcentral Foundation | Clinic/Center | 11495 N Callison Street, Sutton, AK 99674 | 2014-01-10 |
| 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.