JACKIE KUDRIN
NPI 1568041119
Day Training/Habilitation Specialist in Bethel, AK
- Individual
- Female
- Day Training/Habilitation Specialist
About JACKIE KUDRIN
This page provides the complete NPI Profile along with additional information for Jackie Kudrin, a provider established in Bethel, Alaska with a medical specialization in Day Training/habilitation Specialist. The healthcare provider is registered in the NPI registry with number 1568041119 assigned on April 2021. The practitioner's primary taxonomy code is 373H00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1568041119 Verify this NPI
- Provider Name
- JACKIE KUDRIN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 839 CHIEF EDDIE HOFFMAN HWY BETHEL, AK 99559
- Location Phone
- (907) 543-2740
- Mailing Address
- PO BOX 528 BETHEL, AK 99559
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-02-2021
- Last Update Date
- 04-02-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Day Training/Habilitation Specialist
- Taxonomy Code
- 373H00000X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1020986 | MEDICAID (05) | AK |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BETHEL, AK 99559
BETHEL, AK 99559
BETHEL, AK 99559
BETHEL, AK 99559
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568041119, enumerated as an "individual" on April 02, 2021.
The provider is located at 839 CHIEF EDDIE HOFFMAN HWY BETHEL, AK 99559 and the phone number is (907) 543-2740.
Day Training/Habilitation Specialist with taxonomy code 373H00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
