POWER OF WELLNESS HEALTH SERVICES LLC (NPI# 1720635840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720635840 |
| Entity Type | Organization |
| Organization Name | POWER OF WELLNESS HEALTH SERVICES LLC |
| Practice Address |
3258 Tongass Ave. Ketchikan AK 99901-6544 |
| Mailing Address |
Po Box 7691 Ketchikan AK 99901-2691 |
| Practice Telephone | 9072204447 |
| Practice Fax Number | 9072478782 |
| Mailing Telephone | 8662437203 |
| Mailing Fax Number | 8332437203 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | AMANDA HULSTINE (OWNER/PROVIDER) |
| Authorized Official Telephone | 8662437203 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3258 TONGASS AVE. |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-6544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053505206 | Henrietta Emokidi | Nurse Practitioner | 11432 Business Blvd Ste 4, Eagle River, AK 99577 | 2007-08-30 |
| 1285833103 | All Seasons Family Health Care | Nurse Practitioner | 5461 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7817 | 2007-07-11 |
| 1528557683 | Sheena Eisen H Adrados | Nurse Practitioner | 7000 Uula St, Barrow, AK 99723 | 2018-05-04 |
| 1740785344 | Nova Wellness Solutions, LLC | Nurse Practitioner | 110 N Willow St Ste 130, Kenai, AK 99611-7797 | 2018-03-26 |
| 1073050373 | Brianna Clendenin | Nurse Practitioner | 800 Cordova St, Anchorage, AK 99501-3717 | 2017-01-24 |
| 1275985152 | Monica Wyatt | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-07-05 |
| 1851532576 | Sabrina Sonia Yoder | Nurse Practitioner | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2009-03-09 |
| 1780855130 | All Seasons Family Healthcare LLC | Nurse Practitioner | 5461 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7817 | 2008-03-13 |
| 1336289321 | Susan Oliver | Nurse Practitioner | 3760 Piper Street, Suite 1087, Anchorage, AK 99504 | 2007-02-07 |
| 1023072832 | Patricia Mcdonald | Nurse Practitioner | 3260 Providence Dr, Suite 425, Anchorage, AK 99508-4615 | 2006-04-17 |
| 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.