TAMIJA KATRICE WOODS


Address: 4519 E 4th Ave, Anchorage, AK 99508-2216
Phone: 9075386763

TAMIJA KATRICE WOODS (NPI# 1083251607) 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) 1083251607
Entity Type Individual
Full Name TAMIJA KATRICE WOODS
Credential DHAT
Practice Address 4519 E 4th Ave
Anchorage
AK 99508-2216
Mailing Address Po Box 546
Bethel
AK 99559-0546
Practice Telephone 9075386763
Mailing Telephone 9075386763
Enumeration Date 2019-12-02
Last Update Date 2019-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist 19-156-DHAT AK Dental Providers

Office Location

Street Address 4519 E 4TH AVE
City ANCHORAGE
State AK
Zip Code 99508-2216

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
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Taxonomy Information

Taxonomy Code 125J00000X
Grouping Dental Providers
Classification Dental Therapist

Taxonomy Definition

A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730638933 Jaslyn F Wren Dental Therapist 4341 Tudor Centre Dr, Fireweed Dental Building, Anchorage, AK 99508-5904 2016-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538541693 Amanda Miles Dental Therapist 3449 E. Rezanof Drive, Dental Department, Kodiak, AK 99615-3449 2015-06-25
1205236692 Kimberly Baldwin Dental Therapist 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 2014-09-04
1205265345 Cora Roberts Dental Therapist 201 3rd Avenue, Suite 115, Seward, AK 99664 2013-11-08
1326654245 Kathrine G.d.a Levi Dental Therapist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2020-09-16
1790320513 Ruby Okitkun Dental Therapist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2019-11-15
1336783075 Allison Kristi Wasuli Dental Therapist 733 2nd Avenue, Kotzebue, AK 99752 2019-11-06
1922579143 Janette Carmen Ulak Dental Therapist 49 Airport Rd, Hooper Bay Clinic, Hooper Bay, AK 99604 2018-12-16
1609345677 Samantha Sparks Dental Therapist 222 Tongass Dr, Sitka, AK 99835-9416 2018-11-19
1134696156 Shonna Wheeler Dental Therapist 100 Slocum Drive, King Cove, AK 99612 2018-10-29
1881160570 Leandra Beech Dental Therapist 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 2018-10-19
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Competitor

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City ANCHORAGE
Zip Code 99508

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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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