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THOMAS ANDREW JIMMIE NPI 1275926586


NPI Information

NPI: 1275926586
Provider Name: THOMAS ANDREW JIMMIE
Classification: Day Training/Habilitation Specialist - 373H00000X
Entity Type: Individual
Address:
839 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559
Phone: (907) 543-2740
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Thomas Andrew Jimmie is a day training habilitation specialist in Bethel, AK. The provider is 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. Thomas Andrew Jimmie NPI is 1275926586. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

839 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559-528
Phone: (907) 543-2740

The enumeration date for this NPI number is 3/11/2015 and was last updated on 3/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1373H00000XDay Training/Habilitation SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11020986MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.