Tisha Loraine Kalmakoff, COMMUNITY HEALTH AID

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

6000 Kanakanak Rd.
Dillingham, AK 99576-0130

Phone

(907) 842-5201

Fax

(907) 842-9250

NPI assigned

Dec 2, 2011

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1023386273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 130",
            "city": "DILLINGHAM",
            "state": "AK",
            "postal_code": "995760130",
            "telephone_number": "907-842-5201",
            "fax_number": "907-842-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 KANAKANAK RD.",
            "city": "DILLINGHAM",
            "state": "AK",
            "postal_code": "995760130",
            "telephone_number": "907-842-5201",
            "fax_number": "907-842-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMAKOFF",
        "first_name": "TISHA",
        "middle_name": "LORAINE",
        "credential": "COMMUNITY HEALTH AID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronna Lee Johnson
• Sharon Johnson, DHAT
• Joan Lucienne Junge, ANP CNM
• Jennifer M. Kalmakoff
• Nana Dora Kalmakoff
• Charlie Keefa Kapotak
• Mary J Kasayulie
• Kiauna Katchatag
• Theresa Stacy Kearns, PSY. D.
• Crystale Marie Klutsch

• Community Health Worker in Dillingham, AK
• Providers in Dillingham, AK by specialty
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.