LEEANNA SAMUEL WILDE (NPI# 1982164208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982164208 |
| Entity Type | Individual |
| Full Name | LEEANNA SAMUEL WILDE |
| Practice Address |
829 Cheif Eddie Hoffman Hwy Suite 150 Bethel AK 99559 |
| Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
| Practice Telephone | 9075436100 |
| Practice Fax Number | 9075436159 |
| Mailing Telephone | 9075436100 |
| Mailing Fax Number | 9075436159 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1020986 | 05 |
| Street Address |
829 CHEIF EDDIE HOFFMAN HWY SUITE 150 |
| City | BETHEL |
| State | AK |
| Zip Code | 99559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104945443 | Matthew J West | Dentist | 829 Cheif Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2007-03-28 |
| 1467927475 | Deanna Heckman | Social Worker | 829 Cheif Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559 | 2018-10-05 |
| 1861823106 | Shane Carllson | Registered Nurse | 829 Cheif Eddie Hoffman Hwy, Bethel, AK 99559 | 2013-12-12 |
| 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 | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861838047 | Catherine Kairaiuak | Community Health Worker | 870 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2013-05-15 |
| 1376142174 | Thomasina Tishina Smith | Community Health Worker | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2020-10-22 |
| 1356957013 | Kayla Annie Boots | Community Health Worker | 829 Chief Eddie Hoffman, Suite 150, Bethel, AK 99559-0528 | 2020-09-18 |
| 1386257988 | Jennifer A Amigliore | Community Health Worker | 900 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2020-08-25 |
| 1720699044 | Reanna Jimmy | Community Health Worker | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2020-08-11 |
| 1700413663 | Erica Kameroff | Community Health Worker | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 | 2020-03-23 |
| 1235699554 | Jacqueline Renee Turner | Community Health Worker | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559 | 2019-03-22 |
| 1588135008 | Shane Michael Lake | Community Health Worker | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-12-10 |
| 1619463973 | Starretta Lynn Abdiu-lucas | Community Health Worker | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559 | 2018-07-10 |
| 1497263479 | Pearl Stella Semaken | Community Health Worker | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559 | 2018-01-12 |
| 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.