Kathleen Benoit
Individual provider Active NPI Day Training/Habilitation Specialist · Wasilla, AK
NPI 1689139461 · NPPES record last updated Feb 5, 2019
Key facts
- NPI
- 1689139461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 1401 S Seward Meridian Pkwy
Wasilla, AK 99654-8312 - Phone
- (907) 315-4049
- NPI assigned
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
1401 S Seward Meridian Pkwy
Wasilla, AK 99654-8312
Mailing address
1401 S Seward Meridian Pkwy
Wasilla, AK 99654-8312
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1684068 | Medicaid | AK |
Other providers in Wasilla, AK
- Annemarie Johnson Benage
- Alicia J Bendistis
- Aaron Benjamin
- Anna Eleanor Bennett
- Stephanie Bennett
- Peter Ward Benoit
- Anne Benson
- Laurie Benson
- Paul W Bentley
- Deterrieo Benton
All providers in Wasilla, AK · Day Training/Habilitation Specialist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.