Priscilla Wauneka, EMT 1

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1360 Calista Dr.
BH Sobering Center
Bethel, AK 99559-0528

Phone

(907) 545-6830

NPI assigned

Aug 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Priscilla Morris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1598044174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "address_2": "ATTN: BH SOBERING CENTER",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590528",
            "telephone_number": "907-543-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CALISTA DR.",
            "address_2": "BH SOBERING CENTER",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590528",
            "telephone_number": "907-545-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUNEKA",
        "first_name": "PRISCILLA",
        "name_prefix": "Ms.",
        "credential": "EMT 1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "AK",
            "license": "13289003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020986",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "MORRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Watson
• Raymond Watson
• Darrick Lloyd Waugh, DPT
• Ian Andrew Waugh, PHARMD
• Philip Waugh
• Kaylee Weingarth
• William Shane Welch, NCAC I
• Ann Wendel, MSN, APRN, FNP-C
• Jonathan Wertz
• Matthew J West, DMD

• 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 Jun 11, 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.