Individual provider Active NPI

Jennifer Lee Billinger

  • Community Health Worker
  • Palmer, AK
National Provider Identifier
1043883002
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
550 S Alaska St Ste 202
Palmer, AK 99645-6372
Phone
(907) 746-6019
Fax
(907) 745-7565
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

550 S Alaska St Ste 202
Palmer, AK 99645-6372

Mailing address

550 S Alaska St Ste 202
Palmer, AK 99645-6372
Phone (907) 746-6019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daybreak Incorporated CurrentSince Jul 25, 2021 Accepting new patients

Locations

550 S Alaska St
Ste 202
Palmer, AK 99645
Phone (907) 746-6019

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1043883002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S ALASKA ST STE 202",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456372",
            "telephone_number": "907-746-6019",
            "fax_number": "907-745-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S ALASKA ST STE 202",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456372",
            "telephone_number": "907-746-6019",
            "fax_number": "907-745-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGER",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.