MISS SADIE M GREEN (NPI# 1831646447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831646447 |
| Entity Type | Individual |
| Full Name | MISS SADIE M GREEN |
| Other Name | SADIE GREEN |
| Credential | DHAT |
| Practice Address |
528 Chief Eddie Hoffman Hwy Bethel AK 99559-0304 |
| Mailing Address |
Po Box 304 Hooper Bay AK 99604-0304 |
| Practice Telephone | 9075459022 |
| Mailing Telephone | 9075459022 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | 16-136-DHAT | AK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114388105 | Sadie Green | Social Worker | 207 Larkspur St, Ponderay, ID 83852-5011 | 2016-03-17 |
| 1477934784 | Sadie Savannah Green | Technician, Other | 474 W 200 N, Saint George, UT 84770-4505 | 2015-06-11 |
| 1104227123 | Sadie Green | Counselor | 6013 S. Redwood Rd., Taylorsville, UT 84123 | 2014-09-09 |
| Street Address |
528 CHIEF EDDIE HOFFMAN HWY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559-0304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225446131 | Brian Blum | Optometrist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2014-07-24 |
| 1093366601 | Heather Heidorn | Pharmacist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2019-09-25 |
| 1891264727 | Laura Ann Koskenmaki | Nurse Practitioner | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-11-20 |
| 1053806414 | Ashley Fairbanks Glasheen | Nurse Practitioner | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2018-06-28 |
| 1538658398 | Kameron Shea Zimin | Dentist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-05-08 |
| 1841723681 | Justin Lawrence Willis | Pediatrics | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2017-04-08 |
| 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 | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654245 | Kathrine G.d.a Levi | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2020-09-16 |
| 1790320513 | Ruby Okitkun | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2019-11-15 |
| 1629455183 | Renee Mae Rose Cheemuk | Dental Therapist | 900 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2015-05-04 |
| 1740674472 | Shawn Martin | Dental Therapist | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2015-03-19 |
| 1134512676 | Angelica Afcan | Dental Therapist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251607 | Tamija Katrice Woods | Dental Therapist | 4519 E 4th Ave, Anchorage, AK 99508-2216 | 2019-12-02 |
| 1538541693 | Amanda Miles | Dental Therapist | 3449 E. Rezanof Drive, Dental Department, Kodiak, AK 99615-3449 | 2015-06-25 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
| 1336783075 | Allison Kristi Wasuli | Dental Therapist | 733 2nd Avenue, Kotzebue, AK 99752 | 2019-11-06 |
| 1922579143 | Janette Carmen Ulak | Dental Therapist | 49 Airport Rd, Hooper Bay Clinic, Hooper Bay, AK 99604 | 2018-12-16 |
| 1609345677 | Samantha Sparks | Dental Therapist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-11-19 |
| 1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
| 1881160570 | Leandra Beech | Dental Therapist | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2018-10-19 |
| 1275075244 | Summer Michele Lynch | Dental Therapist | 216 Dalton Street, Suite 102, Haines, AK 99827 | 2016-11-08 |
| 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.