Nickolas Ticket, CHA-I

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

PO Box 9
Buckland, AK 99727-0009

Phone

(907) 494-2122

Fax

(907) 494-2104

NPI assigned

Jan 6, 2026

Sex

Male

Sole proprietor

No

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, last updated by the provider on Sep 1, 2026.

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1023975638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520043",
            "telephone_number": "907-442-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "BUCKLAND",
            "state": "AK",
            "postal_code": "997270009",
            "telephone_number": "907-494-2122",
            "fax_number": "907-494-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICKET",
        "first_name": "NICKOLAS",
        "credential": "CHA-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Hadley
• Charles Edward Kirk, CHP
• Maniilaq Association
• Maniilaq Association
• Minnie Jo Thomas, CHA 3

• All providers in Buckland, AK
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.