MRS. ANITA PREWITT (NPI# 1386670446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386670446 |
| Entity Type | Individual |
| Full Name | MRS. ANITA PREWITT |
| Credential | R.D.H. |
| Practice Address |
1060 Gaffney Rd Fort Wainwright AK 99703-5002 |
| Mailing Address |
904 Les Rogers Turnaround North Pole AK 99705-7635 |
| Practice Telephone | 9073535530 |
| Mailing Telephone | 9074884392 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 712 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | LOCAL ANETHSTETIC AGENTS | 540 | 01 |
| Street Address |
1060 GAFFNEY RD |
| City | FORT WAINWRIGHT |
| State | AK |
| Zip Code | 99703-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033191192 | Elizabeth Ann Mittelstaedt | Registered Nurse | 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn: Mcuc-mmd-qm, Fort Wainwright, AK 99703-5001 | 2005-11-15 |
| 1952858615 | Patrick Degen Bushman | Physician Assistant | 1060 Gaffney Rd, #7440, Fort Wainwright, AK 99703-5002 | 2016-09-09 |
| 1043764939 | Laurence Preston Keim | Physician Assistant | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-08-08 |
| 1275985152 | Monica Wyatt | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-07-05 |
| 1700235546 | Tyler Tubbs | Dental Assistant | 1060 Gaffney Rd, 1055, Fort Wainwright, AK 99703-5002 | 2016-06-10 |
| 1285037796 | Tina Syfert | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2014-09-29 |
| 1841617586 | Keng Yu Chen | Dentist | 1060 Gaffney Rd, #7500, Fort Wainwright, AK 99703-5001 | 2014-03-19 |
| 1831539378 | Laina Gay Cafego | Family Medicine | 1060 Gaffney Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703 | 2013-06-28 |
| 1467890798 | Jennifer Myaeng | Pediatrics | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2013-06-09 |
| 1598100745 | Andrea Christina Knievel | General Practice | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2013-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740631357 | Christopher Coleman | Dental Hygienist | 3406 Alder Ave, Fort Wainwright, AK 99703 | 2016-06-24 |
| 1891146437 | Amanda Dains | Dental Hygienist | 3406 Alder Avenue, Fort Wainwright, AK 99703 | 2016-06-24 |
| 1790135598 | Aury Hernandez | Dental Hygienist | 1060 Gaffney Rd Stop 7500, Fort Wainwright, AK 99703-5007 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722198 | Sarah Carter | Dental Hygienist | 36721 Saint Theresa Rd, Soldotna, AK 99669-8653 | 2020-02-14 |
| 1619487808 | Elisabeth Turner | Dental Hygienist | 6611 Debarr Rd Ste 100, Anchorage, AK 99504-1706 | 2017-10-03 |
| 1801335856 | Meridian Dental, LLC | Dental Hygienist | 3465 E Meridian Park Loop Ste C, Wasilla, AK 99654-7264 | 2017-02-22 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1679922496 | Karen Peters | Dental Hygienist | 600 Richardson Dr, Bld. # 634, Fort Richardson, AK 99505-8310 | 2016-06-13 |
| 1396116182 | Kelly Adrian | Dental Hygienist | 19436 Laura Lee Cir, Eagle River, AK 99577-8415 | 2015-10-19 |
| 1679909253 | Kjerstena Elizabeth Yocum | Dental Hygienist | 215 Front Street, Wrangell, AK 99929 | 2013-09-16 |
| 1356600886 | Di Ann Thain | Dental Hygienist | 7300a Klawock-hollis Hwy, Klawock, AK 99925 | 2012-05-03 |
| 1134497936 | Barbara J Sylvester | Dental Hygienist | 122 First Ave Suite 600, Fairbanks, AK 99707-2585 | 2011-12-07 |
| 1881970184 | Laura M Greer | Dental Hygienist | 8150 Northwind Ave # B, Anchorage, AK 99504-4141 | 2011-10-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAINWRIGHT |
| Zip Code | 99703 |
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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.