KISA N HAYWOOD


Address: 1231 Gambell St Ste 300, Anchorage, AK 99501-4664
Phone: 9073334343

KISA N HAYWOOD (NPI# 1962043992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962043992
Entity Type Individual
Full Name KISA N HAYWOOD
Practice Address 1231 Gambell St Ste 300
Anchorage
AK 99501-4664
Practice Telephone 9073334343
Practice Fax Number 9073334383
Mailing Telephone 9073334343
Mailing Fax Number 9073334383
Enumeration Date 2019-10-01
Last Update Date 2019-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1231 GAMBELL ST STE 300
City ANCHORAGE
State AK
Zip Code 99501-4664

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548452519 Clare Louise Maxwell Psychiatry & Neurology 1231 Gambell St Ste 300, Anchorage, AK 99501 2007-08-14
1811511124 Choices, Inc Counselor 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 2020-06-02
1982247748 Joshua C. Miller Counselor 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 2019-10-24
1437792272 Brian Leroy Madsen Peer Specialist 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 2019-10-24
1023659844 Neil Mahmood Gallagher Case Manager/Care Coordinator 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 2019-10-02
1699325209 Carol Jane Wolfe Registered Nurse 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 2019-09-16
1508415209 Kamaree Altaffer Social Worker 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 2019-09-05
1821643412 Cordero Allan Wade-gonzales Case Manager/Care Coordinator 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 2019-08-09
1295389245 Joseph David Oliver Case Manager/Care Coordinator 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 2019-07-29
1962055160 Amy Marie Watson Case Manager/Care Coordinator 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 2019-07-17
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1861093304 Ryan Garcia Military Health Care Provider 673d Med Group, Jber, AK 99501 2020-11-02
1033755798 The Salvation Army, A California Corporation Community/Behavioral Health 1700 A Street, Anchorage, AK 99501 2019-11-18
1740841170 Christina Lynne Arent Cook Registered Nurse 8000 West End Rd, Anchorage, AK 99501 2019-06-26
1033770672 Kathy Eileen Mailelle Behavior Technician 8000 West End Road, Anchorage, AK 99501 2019-06-25
1306312574 Patricia Estella Gould Marriage & Family Therapist 731 N St, Anchorage, AK 99501 2018-10-15
1497235642 Beth Alta Fletcher Specialist 737 W 5th Ave Ste 202, Anchorage, AK 99501 2018-08-17
1699289645 Jae Won Lee Dentist 726 E. 9th Avenue, Anchorage, AK 99501 2017-11-29
1649797796 Seong Guy Hyung Dentist 726 E 9th Avenue, Anchorage, AK 99501 2017-08-29
1871952705 Warren Anderson Massage Therapist 737 West 5th Avenue Suite 202, Anchorage, AK 99501 2016-02-20
1780072603 Epoch - Alaska Limited Liability Company General Practice 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 2014-12-30
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851998223 Patricia Main Peer Specialist 2601 W 34th Ave Apt 7, Anchorage, AK 99517-2142 2020-10-07
1811534803 Colleen H Ward-wilson Peer Specialist 3600 San Jeronimo Dr Ste 300, Anchorage, AK 99508-2870 2019-12-09
1538701222 Betty Jo Shepherd-hebb Peer Specialist 4110 Debarr Rd Spc G17, Anchorage, AK 99508-3176 2019-10-14
1194366088 Matalena Suitupe Lokeni Peer Specialist 7650 Mayfair Dr Apt C, Anchorage, AK 99502-7212 2019-10-02
1629676192 Harrison Mann Peer Specialist 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 2020-10-15
1518573989 Teresa Elaine Doyle Peer Specialist 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 2020-09-21
1447863089 Sean Theodore Williams Peer Specialist 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 2020-08-24
1962013656 Erica Lu Nielsen Peer Specialist 3760 Piper St Ste 1090, Anchorage, AK 99508-4683 2020-08-14
1407485154 Cortney Anderson Peer Specialist 2825 W 42nd Ave, Anchorage, AK 99517-2830 2020-04-05
1013543800 Robert Lee Seay II Peer Specialist 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 2020-03-12
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Competitor

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City ANCHORAGE
Zip Code 99501

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Dataset Information

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.

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