JERRI LINDA MORAN-GENTLE (NPI# 1639730484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639730484 |
| Entity Type | Individual |
| Full Name | JERRI LINDA MORAN-GENTLE |
| Practice Address |
430 A 7th Ave Bethel AK 99559 |
| Mailing Address |
Po Box 1648 Bethel AK 99559-1648 |
| Practice Telephone | 9075457307 |
| Mailing Telephone | 9075457307 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 101614 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
430 A 7TH AVE |
| City | BETHEL |
| State | AK |
| Zip Code | 99559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| 1932699519 | Elena M Nicholai | Community Health Worker | 6044 Boardwalk Way, Napaskiak, AK 99559 | 2018-05-18 |
| Find all providers in zip 99559 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430560 | Sharon Rose Ciccone | Massage Therapist | 448 Airport Rd, #14, Bethel, PA 19507 | 2020-09-03 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1932608908 | Christopher Randal Pyle | Massage Therapist | 107 Alex Hately Dr., Suite A, Bethel, AK 99559 | 2018-02-06 |
| 1144750167 | Christina Garcia | Massage Therapist | 108 Blackberry, Suite A, Bethel, AK 99559 | 2017-06-13 |
| 1891240339 | Susan Backman | Massage Therapist | 5 Birch Dr Ste A, Bethel, CT 06801-1002 | 2016-08-24 |
| 1821427436 | Lynae King | Massage Therapist | 9533 Old 22, Bethel, PA 19507-9419 | 2013-11-04 |
| 1073957007 | Jacek Stryjewski | Massage Therapist | 126 Rockwell Rd, Bethel, CT 06801-3008 | 2013-04-22 |
| 1730317819 | Leigh Tracy Benson | Massage Therapist | 854 225th Ln Nw, Bethel, MN 55005-9539 | 2009-06-26 |
| 1649432568 | William Ronald Mcknight | Massage Therapist | 74 Sunset Hill Rd, Bethel, CT 06801-2923 | 2008-07-01 |
| 1982126504 | Laurel Ruth Drews | Massage Therapist | 108 Blackberry, Suite A, Bethel, AK 99559 | 2017-07-14 |
| Find all providers in BETHEL | ||||
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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.