LEANDRA BEECH (NPI# 1881160570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881160570 |
| Entity Type | Individual |
| Full Name | LEANDRA BEECH |
| Credential | DHAT |
| Practice Address |
1001 S Knik Goose Bay Rd Wasilla AK 99654-8083 |
| Mailing Address |
Po Box 35151 Seattle WA 98124-5151 |
| Practice Telephone | 9076317690 |
| Practice Fax Number | 9076317616 |
| Mailing Telephone | 9077292000 |
| Mailing Fax Number | 9077295178 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | 18-151-DHAT | AK | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4315 Diplomacy Dr, Anchorage, AK 995085926 | 9077292000 | 9077295178 |
| 4341 Tudor Dr, Anchorage, AK 995085904 | 9077292000 | 9077295178 |
| 4441 Diplomacy Dr Fl 2, Anchorage, AK 995085910 | 9077292000 | 9077295178 |
| Street Address |
1001 S KNIK GOOSE BAY RD |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-8083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245285964 | Laurie Elizabeth Dahms | Family Medicine | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2006-05-23 |
| 1154947570 | Heather Hamilton | Advanced Practice Midwife | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2020-06-22 |
| 1356964662 | Allison Michelle Hillen | Dietitian, Registered | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2020-05-20 |
| 1619526381 | Emily K Wood | Counselor | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-09-05 |
| 1114573284 | Emily Marie Schmitt | Nurse Practitioner | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-08-14 |
| 1225683709 | Jolie Miller | Registered Nurse | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-08-01 |
| 1003469719 | Southcentral Foundation | Community/Behavioral Health | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-07-22 |
| 1497317168 | Tarah Ruth Desatoff | Optometrist | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-07-02 |
| 1417518143 | Holli Blake | Social Worker | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-06-24 |
| 1831755560 | Kathy Bowman | Case Manager/Care Coordinator | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-05-17 |
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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 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1679958326 | Tammy N Merchant | Dental Therapist | 1001 S Knik Goose Bay Rd, Dental, Wasilla, AK 99654-8083 | 2015-07-23 |
| 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 |
| 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 |
| 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 |
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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.