BREANNA ROSALES (NPI# 1770103731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770103731 |
Entity Type | Individual |
Full Name | BREANNA ROSALES |
Credential | MA |
Practice Address |
433 5 Th Ave Kotzebue AK 99752 |
Mailing Address |
Po Box 256 Kotzebue AK 99752-0256 |
Practice Telephone | 9074427640 |
Enumeration Date | 2020-04-20 |
Last Update Date | 2020-04-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
433 5 TH AVE |
City | KOTZEBUE |
State | AK |
Zip Code | 99752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679118814 | Verna Mariam Sherman | Case Manager/Care Coordinator | 733 2nd Ave., Kotzebue, AK 99752 | 2019-11-12 |
1568979565 | John Steven Ferraro | Counselor | 733 2'nd Ave, Kotzebue, AK 99752 | 2017-12-29 |
1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
1366998114 | Alaskans Changing Together, Inc. | Counselor | 241 5th Ave, Kotzebue, AK 99752 | 2016-08-31 |
1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
1881941193 | Belynda M. Gregg | Case Manager/Care Coordinator | 256 2nd Ave, F.r. Ferguson Building, Kotzebue, AK 99752 | 2012-08-07 |
1689932436 | Srikanth Rao Dakoji | Family Medicine | 479 Mission St, Apt C8, Kotzebue, AK 99752 | 2012-04-30 |
1932434792 | Joseph E Copeland | Family Medicine | Maniilaq Healh Center, Box 43, Kotzebue, AK 99752 | 2009-10-13 |
1144452426 | Peter Christopher Mccutcheon | Dentist | 436 Fifth St., Ted Stevens Way, Kotzebue, AK 99752 | 2009-08-20 |
Find all providers in zip 99752 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588893341 | Marissa Arielle Curtis | Counselor | 722 2nd Ave, Kotzebue, AK 99752 | 2009-07-14 |
1679715536 | Joy Stackhouse | Counselor | 435 Second Avenue, Ted Stevens Way, Kotzebue, AK 99752-0256 | 2009-03-24 |
1073707006 | William G. Westbrook | Counselor | 733 2nd Avenue, Kotzebue, AK 99752 | 2007-09-03 |
1154949436 | Marceline Lee | Counselor | 733 2nd Avenue, Kotzebue, AK 99752 | 2020-07-13 |
1699392258 | Maniilaq Association | Counselor | 733 2nd Ave, Kotzebue, AK 99752 | 2020-06-30 |
1952963795 | Teressa Kaye Baldwin | Counselor | 733 2nd Avenue, Kotzebue, AK 99752 | 2019-07-02 |
1871068767 | Sarah Rodrigues | Counselor | 733 2nd Avenue, Kotzebue, AK 99752 | 2018-10-08 |
1982075461 | Heather Dominguez | Counselor | 733 2nd Avenue, Kotzebue, AK 99752-0951 | 2015-10-09 |
1679965370 | Marne Prettyman Eggleston | Counselor | 733 2nd Avenue, Kotzebue, AK 99752-0733 | 2015-03-04 |
1891190989 | Tamara Owens | Counselor | 733 2nd Ave, Kotzebue, AK 99752-0256 | 2014-10-31 |
Find all providers in KOTZEBUE |
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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.