MRS. HENRIETTA EMOKIDI (NPI# 1053505206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053505206 |
Entity Type | Individual |
Full Name | MRS. HENRIETTA EMOKIDI |
Practice Address |
11432 Business Blvd Ste 4 Eagle River AK 99577 |
Mailing Address |
Po Box 140665 Anchorage AK 99514-0665 |
Practice Telephone | 9073171703 |
Mailing Telephone | 9072784357 |
Mailing Fax Number | 9072784358 |
Enumeration Date | 2007-08-30 |
Last Update Date | 2018-05-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
128333 | AK | Physician Assistants & Advanced Practice Nursing Providers |
N | 171M00000X | Case Manager/Care Coordinator | 436940 | AK | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
8014 E 2nd Ave, Anchorage, AK 995041510 | 9072784357 | 9072784358 |
Street Address |
11432 BUSINESS BLVD STE 4 |
City | EAGLE RIVER |
State | AK |
Zip Code | 99577 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063968113 | Christine Hickey | Clinic/Center | 11432 Business Blvd Ste 4, Eagle River, AK 99577-7740 | 2016-08-29 |
1669745865 | Tasha Corinth | Physician Assistant | 11432 Business Blvd Ste 4, Eagle River, AK 99577-7740 | 2012-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
Find all providers in zip 99577 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720635840 | Power of Wellness Health Services LLC | Nurse Practitioner | 3258 Tongass Ave., Ketchikan, AK 99901-6544 | 2019-08-22 |
1285833103 | All Seasons Family Health Care | Nurse Practitioner | 5461 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7817 | 2007-07-11 |
1528557683 | Sheena Eisen H Adrados | Nurse Practitioner | 7000 Uula St, Barrow, AK 99723 | 2018-05-04 |
1740785344 | Nova Wellness Solutions, LLC | Nurse Practitioner | 110 N Willow St Ste 130, Kenai, AK 99611-7797 | 2018-03-26 |
1073050373 | Brianna Clendenin | Nurse Practitioner | 800 Cordova St, Anchorage, AK 99501-3717 | 2017-01-24 |
1275985152 | Monica Wyatt | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-07-05 |
1851532576 | Sabrina Sonia Yoder | Nurse Practitioner | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2009-03-09 |
1780855130 | All Seasons Family Healthcare LLC | Nurse Practitioner | 5461 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7817 | 2008-03-13 |
1336289321 | Susan Oliver | Nurse Practitioner | 3760 Piper Street, Suite 1087, Anchorage, AK 99504 | 2007-02-07 |
1023072832 | Patricia Mcdonald | Nurse Practitioner | 3260 Providence Dr, Suite 425, Anchorage, AK 99508-4615 | 2006-04-17 |
Find all providers with the same taxonomy |
City | EAGLE RIVER |
Zip Code | 99577 |
Please comment or provide details below to improve the information on MRS. HENRIETTA EMOKIDI.
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.