WILLIE NICK DAVID NPI 1184901035

Counselor in Kwethluk, AK

NPI 1184901035 Individual Male Counselor

About WILLIE DAVID

Willie David is a provider established in Kwethluk, Alaska and his medical specialization is counselor. The NPI number of Willie David is 1184901035 and was assigned on November 2011. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 8 years ago.

Willie David is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1184901035

Provider Name WILLIE NICK DAVID
Provider Location Address49 AIRPORT ROAD KWETHLUK, AK 99621
Provider Mailing AddressPO BOX 69 KWETHLUK, AK 99621
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-07-2011
Last Update Date01-15-2014


Primary Taxonomy

Taxonomy Code101Y00000X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Business Address

WILLIE NICK DAVID
49 AIRPORT ROAD
KWETHLUK, AK
ZIP 99621
Phone: (907) 757-6627
Fax: (907) 757-6626

Get Directions


Mailing Address

WILLIE NICK DAVID
PO BOX 69
KWETHLUK, AK
ZIP 99621
Phone: (907) 757-6627
Fax: (907) 757-6626



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1020986MEDICAID (05)AK

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922444025 KATRINA CRANE
Individual
Community Health Worker49 AIRPORT ROAD
KWETHLUK, AK 99621
(907) 757-6627
1295262939 CARLA SUSKUK
Individual
Community Health Worker49 AIRPORT ROAD
KWETHLUK, AK 99621
(907) 757-6627
1114420296 TAMARA J AYAPAN
Individual
Community Health Worker49 AIRPORT ROAD
KWETHLUK, AK 99621
(907) 757-6627
1528523370 JORDAN T FISHER
Individual
Community Health Worker49 AIRPORT ROAD
KWETHLUK, AK 99621
(907) 757-6627
1619522836 JACQUELINE M ALEXIE
Individual
Community Health Worker49 AIRPORT ROAD
KWETHLUK, AK 99621
(907) 757-6627
1164062386 RHONDA M JACKSON
Individual
Community Health Worker49 AIRPORT ROAD
KWETHLUK, AK 99621
(907) 757-6627
1376174433 PATRICIA M.M. DAVID
Individual
Community Health Worker49 AIRPORT ROAD
KWETHLUK, AK 99621
(907) 757-6627
1194356626 CHARLAMAGNE C OLICK
Individual
Community Health Worker49 AIRPORT ROAD
KWETHLUK, AK 99621
(907) 757-6627

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.