POLLY EVAN (NPI# 1912213901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912213901 |
| Entity Type | Individual |
| Full Name | POLLY EVAN |
| Practice Address |
700 Chief Eddie Hoffman Highway Bethel AK 99559-0528 |
| Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
| Practice Telephone | 9075436300 |
| Practice Fax Number | 9075436366 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
700 CHIEF EDDIE HOFFMAN HIGHWAY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559-0528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928627 | Matthew Todd Warren | Radiology | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2005-11-03 |
| 1043843683 | Alicia Paula Koffi | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2020-02-21 |
| 1861043564 | Ashley Lourilea Hunsucker | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2019-09-24 |
| 1619330230 | Amber Leigh Colvin | Dietitian, Registered | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2016-03-31 |
| 1073970745 | Jeremiah Lee Britton | Dietitian, Registered | 700 Chief Eddie Hoffman Highway, Diabetes Prevention and Control Attn: Jeremiah Britton, Bethel, AK 99559 | 2016-01-26 |
| 1528434016 | Michelle M Carl | Technician, Other | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0700 | 2015-08-19 |
| 1184026908 | Agnes Changsak | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-09-24 |
| 1801201611 | Virginia Lozano | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-07-01 |
| 1699188581 | Ernest Phillip | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2014-06-09 |
| 1467875120 | Beverly Wulf | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-01-30 |
| 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 | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750858 | Gladys E Steele | Technician | 3130 Bethel Concord Rd, Bethel, OH 45106-9367 | 2020-11-03 |
| 1699001263 | Amber Carl | Technician | 700 Chief Eddif Hoffman Highway, Bethel, AK 99559-0287 | 2009-11-02 |
| 1609201920 | Alice Olsen | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2013-09-05 |
| 1588096572 | Antonia Joseph | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2013-08-01 |
| 1285075408 | Alice Edmund | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2013-07-16 |
| 1417396268 | Dina Jacobs | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2013-06-14 |
| 1770920894 | Jeffrey Black | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2013-05-30 |
| 1053758185 | Theresa Erik-tom | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2013-05-30 |
| 1205273356 | Elsie Stewart | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99959-0528 | 2013-05-30 |
| 1417390808 | Paul Slim | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2013-04-16 |
| Find all providers in BETHEL | ||||
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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.