KODIAK BIRTH AND WELLNESS, LLC (NPI# 1073114039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073114039 |
| Entity Type | Organization |
| Organization Name | KODIAK BIRTH AND WELLNESS, LLC |
| Practice Address |
1527 Mission Rd Kodiak AK 99615-6507 |
| Practice Telephone | 9075120515 |
| Practice Fax Number | 9073310491 |
| Mailing Telephone | 9075120515 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | ELKE SAUNDERS (OWNER) |
| Authorized Official Telephone | 9075120515 |
| Authorized Official Credential | CDM, CPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285265181 | Kodiak Birth and Wellness, LLC | Family Medicine | 1527 Mission Rd, Kodiak, AK 99615-6507 | 2020-01-29 |
| Street Address |
1527 MISSION RD |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285265181 | Kodiak Birth and Wellness, LLC | Family Medicine | 1527 Mission Rd, Kodiak, AK 99615-6507 | 2020-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730729385 | The Nesting Place, LLC | Clinic/Center | 104 S Binkley St Ste B, Soldotna, AK 99669-8038 | 2020-01-12 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1811311939 | Heritage Health and Birth Soldotna LLC | Clinic/Center | 2323 S Trunk Rd Suite 6, Palmer, AK 99645-5936 | 2014-02-10 |
| 1114268752 | Interior Birthing Center LLC | Clinic/Center | 1626 30th Ave Ste 200, Fairbanks, AK 99701-7423 | 2013-03-06 |
| 1922315597 | Windsong Midwifery, LLC | Clinic/Center | 5805 E Columbus Way, Wasilla, AK 99654-7831 | 2010-09-02 |
| 1174651665 | The Midwives Birth Center | Clinic/Center | 1108 E Northern Lights Blvd, Ste C, Anchorage, AK 99508-4219 | 2007-02-28 |
| 1427606201 | One Family Community Birthcenter | Clinic/Center | 1108 E Northern Lights Blvd Ste C, Anchorage, AK 99508-4259 | 2019-08-26 |
| 1720587660 | The Birth Center, LLC | Clinic/Center | 342 S Alaska St, Palmer, AK 99645-6336 | 2018-02-06 |
| 1679932289 | Juneau Family Health and Birth Center | Clinic/Center | 1601 Salmon Creek Ln, Juneau, AK 99801-7867 | 2016-02-11 |
| 1801251665 | Juniper Tree Midwifery LLC | Clinic/Center | 26495 Vincent Street, Kasilof, AK 99610-0811 | 2015-12-22 |
| Find all providers with the same taxonomy | ||||
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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.