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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
1231 GAMBELL ST STE 300 |
City | ANCHORAGE |
State | AK |
Zip Code | 99501-4664 |
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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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 99501 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
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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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.