CHELSEA A SHOEMAKER (NPI# 1114269982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114269982 |
| Entity Type | Individual |
| Full Name | CHELSEA A SHOEMAKER |
| Credential | DHAT |
| Practice Address |
172 Main Street Sand Point AK 99661 |
| Mailing Address |
3380 C St Suiite 100 Anchorage AK 99503-3949 |
| Practice Telephone | 9075642512 |
| Practice Fax Number | 9072771436 |
| Mailing Telephone | 9075642512 |
| Mailing Fax Number | 9072771436 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | DHAT | AK | Dental Providers |
| Street Address |
172 MAIN STREET |
| City | SAND POINT |
| State | AK |
| Zip Code | 99661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346662608 | Eastern Aleutian Tribes, Inc | Clinic/Center | 172 Main Street, Sand Point, AK 99661 | 2014-01-06 |
| 1881847556 | Susan Leslie Davis | Community Health Worker | 172 Main Street, Sand Point, AK 99661-0172 | 2008-10-28 |
| 1104083419 | Lou J Kuchenoff | Community Health Worker | 172 Main Street, Sand Point, AK 99661 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477115178 | Troy John Brandell | Community Health Worker | 172 Red Cove, Sand Point, AK 99661 | 2019-07-02 |
| 1851583280 | James W Neumann | Social Worker | 172 Red Cove Rd., Sand Point, AK 99661 | 2007-08-09 |
| 1821290925 | Eastern Aleutian Tribes, Inc. | Clinic/Center | 527 Main St., Sand Point, AK 99661 | 2007-06-01 |
| 1497815609 | Liam Christopher Devlin | Nurse Practitioner | 172 Main St., Sand Point, AK 99661 | 2006-12-11 |
| 1154560613 | Sarah P Howell | Registered Nurse | 172 Red Cove Road, Sand Point, AK 99661 | 2009-02-06 |
| 1326283326 | Lila L. Johnson | Specialist | 172 Main St, Sand Point, AK 99661 | 2008-12-05 |
| 1730381831 | Eastern Aleutian Tribes, Inc | Clinic/Center | 527 Main St., Sand Point, AK 99661 | 2007-06-01 |
| 1033292693 | Eastern Aleutian Tribes, Inc | Dentist | 172 Main St, Sand Point, AK 99661 | 2006-10-24 |
| 1508019274 | Melinda Nayokpuk | Community Health Worker | 172 Red Cove Road, Sand Point, AK 99661-0172 | 2008-10-28 |
| 1811363260 | City of Sand Point | Ambulance | 249 Main Street, Sand Point, AK 99661-0249 | 2015-08-19 |
| Find all providers in zip 99661 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251607 | Tamija Katrice Woods | Dental Therapist | 4519 E 4th Ave, Anchorage, AK 99508-2216 | 2019-12-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAND POINT |
| Zip Code | 99661 |
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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.