MOHAMED KANU (NPI# 1164064176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164064176 |
| Entity Type | Individual |
| Full Name | MOHAMED KANU |
| Practice Address |
2211 Arca Dr Anchorage AK 99508-3462 |
| Practice Telephone | 9072776677 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
2211 ARCA DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881715928 | Valerie Honeyblue | Case Manager/Care Coordinator | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2007-04-03 |
| 1407456635 | Cristy Marie Joslin | Case Manager/Care Coordinator | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2020-10-27 |
| 1689211690 | Brian Akelkok | Peer Specialist | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2019-12-09 |
| 1881230381 | Giuditta Potts | Peer Specialist | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2019-11-20 |
| 1871136309 | Rosalinda Ramona Rempel | Peer Specialist | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2019-10-28 |
| 1235771080 | Kaysie Rich | Peer Specialist | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2019-10-14 |
| 1255973269 | Tristan Lee Anderson | Peer Specialist | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2019-10-10 |
| 1609425909 | Abigail E Gallardo | Technician | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2019-09-09 |
| 1467009548 | Samantha Desarmo | Case Manager/Care Coordinator | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2019-08-22 |
| 1083261366 | Marylou Uahinui | Case Manager/Care Coordinator | 2211 Arca Dr, Anchorage, AK 99508-3462 | 2019-08-21 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998223 | Patricia Main | Peer Specialist | 2601 W 34th Ave Apt 7, Anchorage, AK 99517-2142 | 2020-10-07 |
| 1811534803 | Colleen H Ward-wilson | Peer Specialist | 3600 San Jeronimo Dr Ste 300, Anchorage, AK 99508-2870 | 2019-12-09 |
| 1538701222 | Betty Jo Shepherd-hebb | Peer Specialist | 4110 Debarr Rd Spc G17, Anchorage, AK 99508-3176 | 2019-10-14 |
| 1194366088 | Matalena Suitupe Lokeni | Peer Specialist | 7650 Mayfair Dr Apt C, Anchorage, AK 99502-7212 | 2019-10-02 |
| 1629676192 | Harrison Mann | Peer Specialist | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-15 |
| 1518573989 | Teresa Elaine Doyle | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-09-21 |
| 1447863089 | Sean Theodore Williams | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-08-24 |
| 1962013656 | Erica Lu Nielsen | Peer Specialist | 3760 Piper St Ste 1090, Anchorage, AK 99508-4683 | 2020-08-14 |
| 1407485154 | Cortney Anderson | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-04-05 |
| 1013543800 | Robert Lee Seay II | Peer Specialist | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2020-03-12 |
| Find all providers in ANCHORAGE | ||||
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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.