Agnes Rose Woods

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5016 Noel Polty Blvd
Bethel, AK 99550-1029

Phone

(907) 543-6800

Fax

(907) 543-7101

NPI assigned

Aug 1, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Agnes Rose Inakak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yukon-Kuskokwim Health Corporation

  • Psychiatric Residential Treatment Facility
  • Bethel, AK
  • NPI 1467679936
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1134537210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "address_2": "ATTN BH MCCANN TREATMENT CENTER",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995591029",
            "telephone_number": "907-543-6800",
            "fax_number": "907-543-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 NOEL POLTY BLVD",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995501029",
            "telephone_number": "907-543-6800",
            "fax_number": "907-543-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "AGNES",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584987",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020986",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006017",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES",
            "last_name": "INAKAK",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer C Wilson, DMD
• Kelly Anne Wilson
• Lavina Wilson
• Earlene Wise
• Chante Jamie Woman Dress
• Andrea R Woods
• Geraldine M Woods, CHA
• Kaylene Diane Woods, PHARMD
• Nikki Worm
• Beverly Wulf

• Counselor in Bethel, AK
• Providers in Bethel, AK by specialty
• Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.