MT. SANFORD TRIBAL CONSORTIUM (NPI# 1508286857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508286857 |
| Entity Type | Organization |
| Organization Name | MT. SANFORD TRIBAL CONSORTIUM |
| Other Organization Name | MENTASTA CLINIC |
| Practice Address |
Mile 7 Mentasta Road Mentasta AK 99780-9803 |
| Mailing Address |
Po Box 357 Gakona AK 99586-0357 |
| Practice Telephone | 9078225399 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |
| Authorized Official Name | JOSEPH BEATY (BILLING AGENT) |
| Authorized Official Telephone | 9077702380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Mentasta Clinic | Other Name - Individual/Organization |
| Street Address |
MILE 7 MENTASTA ROAD |
| City | MENTASTA |
| State | AK |
| Zip Code | 99780-9803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437378189 | Mt Sanford Tribal Consortium | Clinic/Center | Mile 7 Mentasta Road, Mentasta, AK 99780 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538681 | Kory Labbe | Counselor | 124 Tok Cut Off, Tok, AK 99780 | 2020-11-03 |
| 1396350633 | Tanana Chiefs Confenerce | Pharmacy | Mile 124.4 Glenn Highway, Tok, Ak, AK 99780 | 2020-09-14 |
| 1780294934 | Charmaine Shay Isaac | Counselor | Tetlin Health Clinic, Tetlin, AK 99780 | 2020-08-03 |
| 1770128811 | Tanana Chiefs Conference | Community/Behavioral Health | West Willow and C Street, Tok, AK 99780 | 2019-11-13 |
| 1588227920 | Joetta Lynn Thompson Colquette | Counselor | West C Street and Willow, Tok, AK 99780 | 2019-04-22 |
| 1093245144 | Mariah Craig | Community Health Worker | Mile 5.9 Mentasta Spur Road, Mentasta Lake, AK 99780 | 2017-06-12 |
| 1881070258 | Arron Atchley | Technician | 204 East Chene Way, Tok, AK 99780 | 2015-08-07 |
| 1881079705 | Francine Lee | Registered Nurse | 1314 Alaska Hwy, Tok, AK 99780 | 2015-07-21 |
| 1265856306 | Ashley Sawyer | Driver | Mp 1314 Alaska Highway, Tok, AK 99780 | 2014-02-10 |
| 1932536877 | Alberta David | Community Health Worker | 123 Tok Cut Off Road, Tok, AK 99780 | 2013-10-10 |
| Find all providers in zip 99780 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760040711 | Wanatsanan Somkanay | Nurse Practitioner | 2211 E Northern Lights Blvd Ste 101, Anchorage, AK 99508-4192 | 2019-06-04 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1700395951 | Nicole Zonzel | Nurse Practitioner | 3831 Piper St Sll 020, Anchorage, AK 99508 | 2017-09-20 |
| 1164944229 | Rona Janel Johnson | Nurse Practitioner | 3900 Ambassador Dr Fl 4, Anchorage, AK 99508-5922 | 2017-07-11 |
| 1881128643 | Tamara Simpson | Nurse Practitioner | 1751 E Gardner Way Ste D, Wasilla, AK 99654-6564 | 2017-04-18 |
| 1710352281 | Arctic Physical Medicine Barrow | Nurse Practitioner | 1655 Okpik St, Barrow, AK 99723 | 2015-12-09 |
| 1619347614 | Erin Rockey | Nurse Practitioner | 530 S Talkeetna St, Wasilla, AK 99654-8111 | 2015-10-02 |
| 1598135089 | Alyse Poll | Nurse Practitioner | 1700 E Bogard Rd # 2, Wasilla, AK 99654-6563 | 2015-09-28 |
| 1053793919 | Sarah Elizabeth Dunn | Nurse Practitioner | 1701 Salmon Creek Ln, Juneau, AK 99801-7868 | 2015-06-26 |
| 1679993026 | Mt.sanford Tribal Consortium | Nurse Practitioner | Milepost 33 Tok Cutoff, Chistochina, AK 99586-0000 | 2014-04-24 |
| 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.