Jacki Johnson, CHA
Individual provider Active NPI Community Health Worker · Unalakleet, AK
NPI 1003203092 · NPPES record last updated Dec 8, 2016
Key facts
- NPI
- 1003203092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 189 Airport Road
Unalakleet, AK 99684 - Phone
- (907) 624-3535
- Fax
- (907) 624-3692
- NPI assigned
- Apr 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Past |
Accepting new patients | |
| Norton Sound Health Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
189 Airport Road
Unalakleet, AK 99684
Mailing address
50 School Blvd
Stebbins, AK 99671
Phone (907) 934-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHA-II | Other | AK | CHA |
Other providers in Unalakleet, AK
- Jennifer M Henry
- Ikayuqti
- Anne Michele Ivanoff
- Henrietta B Ivanoff
- Sherilee Ivanoff
- Sharon M Johnson
- Marie L Katchatag
- Cody V Martin
- Native Village of Unalakleet
- Norton Sound Health Corp
All providers in Unalakleet, AK · Community Health Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2016. 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.