MIRANDA PETRUSKA (NPI# 1922375716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922375716 |
| Entity Type | Individual |
| Full Name | MIRANDA PETRUSKA |
| Credential | CHAP IV |
| Practice Address |
10 Takotna Ave. Mcgrath AK 99627-9800 |
| Mailing Address |
4201 Tudor Centre Dr Suite 320 Anchorage AK 99508-5904 |
| Practice Telephone | 9077298624 |
| Mailing Telephone | 9077298624 |
| Mailing Fax Number | 9077298607 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2012-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MDH0157 | 05 |
| Street Address |
10 TAKOTNA AVE. |
| City | MCGRATH |
| State | AK |
| Zip Code | 99627-9800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990575 | Kathleen Louise Healy | Nurse Practitioner | 10 Takotna Ave., Mcgrath, AK 99627-9800 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780067686 | Iditarod Area School District | Local Education Agency (LEA) | 90 Chinana Ave, Mcgrath, AK 99627 | 2015-07-09 |
| 1063467223 | Southcentral Foundation | Clinic/Center | 10 Dnr Road, Mcgrath, AK 99627 | 2006-05-24 |
| 1497202550 | Southcentral Foundation | Dentist | 10 Takotna Ave, Mcgrath, AK 99627 | 2016-09-07 |
| 1174890826 | Colin Meglitsch | Community Health Worker | 10 Takotna Ave, Mcgrath, AK 99627 | 2011-11-23 |
| 1366615114 | Southcentral Foundation | Family Medicine | 10 Dnr Road, Mcgrath, AK 99627 | 2008-04-11 |
| 1235343831 | Cheryl Roussain | Physician Assistant | 10 Takotna Ave, Mcgrath, AK 99627 | 2007-05-10 |
| 1790901007 | Joseph R Newcomb | Physician Assistant | 10 Takotna Ave, Mcgrath, AK 99627 | 2007-04-17 |
| 1780614263 | Southcentral Foundation | Clinic/Center | 10 Dnr Road, Mcgrath, AK 99627 | 2006-07-03 |
| 1174177943 | Pauline Alexandria Egrass | Community Health Worker | 10 Dnr Rd, Mc Grath, AK 99627-0010 | 2019-07-30 |
| 1043601354 | Amanda Grace Bybee | Nurse's Aide | 10 Dnr Rd., Mcgrath, AK 99627-0010 | 2015-02-09 |
| Find all providers in zip 99627 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396391892 | Sterling Marie Magnuson | Community Health Worker | 10 Dnr Road, Mcgrath, AK 99627-0010 | 2019-08-12 |
| 1174890826 | Colin Meglitsch | Community Health Worker | 10 Takotna Ave, Mcgrath, AK 99627 | 2011-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731716 | Pius R Phillip | Community Health Worker | 101 Anderson Street Clinic Road, Alakanuk, AK 99554 | 2020-05-15 |
| 1609498484 | Renee Rose Kimaktoak | Community Health Worker | 1000 Greg Krushek Ave, Nome, AK 99762-0966 | 2020-05-14 |
| 1316566482 | Rosanna Marie Mcarthur | Community Health Worker | 100 School Road, Chignik Bay, AK 99564 | 2020-04-09 |
| 1487283966 | Dollie A Hawley | Community Health Worker | Bering Street, Kivalina, AK 99750 | 2020-04-06 |
| 1861020802 | Elena Maryann Evan | Community Health Worker | Bay Side View 146, Goodnews Bay, AK 99589-0146 | 2020-03-27 |
| 1245877711 | Frankie Christine Standifer | Community Health Worker | 101 Indian Creek Road 82068, Tyonek, AK 99682-0068 | 2019-12-04 |
| 1225670136 | Harriett G Henry | Community Health Worker | 62039 Daqumaaq Road, Golovin, AK 99762-2039 | 2019-10-11 |
| 1194370619 | Natalia Lizbeth Navarro | Community Health Worker | 2 Salmonberry Road, Nikolai, AK 99691 | 2019-08-02 |
| 1174177943 | Pauline Alexandria Egrass | Community Health Worker | 10 Dnr Rd, Mc Grath, AK 99627-0010 | 2019-07-30 |
| 1043872609 | Judith M Pelowook | Community Health Worker | 151 Airport Road, Savoonga, AK 99769-0151 | 2019-07-03 |
| 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.