LEEANNA SAMUEL WILDE


Address: 829 Cheif Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559
Phone: 9075436100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK 1020986 05

Office Location

Street Address 829 CHEIF EDDIE HOFFMAN HWY
SUITE 150
City BETHEL
State AK
Zip Code 99559

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

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/

Providers in the same taxonomy and city

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

Competitor

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City BETHEL
Zip Code 99559

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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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