Judith M Pelowook, CHA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

151 Airport Road
Savoonga, AK 99769-0151

Phone

(907) 984-6513

Fax

(907) 984-6068

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1043872609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "SAVOONGA",
            "state": "AK",
            "postal_code": "997690151",
            "telephone_number": "907-984-6513",
            "fax_number": "907-984-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 AIRPORT ROAD",
            "city": "SAVOONGA",
            "state": "AK",
            "postal_code": "997690151",
            "telephone_number": "907-984-6513",
            "fax_number": "907-984-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOWOOK",
        "first_name": "JUDITH",
        "middle_name": "M",
        "credential": "CHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "92004188",
            "identifier": "CHA",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CHA",
            "affiliation": "N",
            "endpointDescription": "CHA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CHA",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "151 Airport Road",
            "city": "Savoonga",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997690151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsea R Miklahook, CHA
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• Norton Sound Health Corporation
• Danielle Reynolds, CHA III
• Ashley Mae Rookok, CHA-T
• Tiffany S. Rookok, CHA III
• Shaina M Soonagrook, CHA-I
• Lisa Mae Toolie, CHA-T

• Community Health Worker in Savoonga, AK
• Providers in Savoonga, 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 Jul 3, 2019; 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.