Mary Lorraine Hingsbergen

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

10-1059-IV Issued in AK

Practice address

180 Main Street
Selawik, AK 99770-0180

Phone

(907) 484-2199

Fax

(907) 484-2119

NPI assigned

Dec 12, 2011

Last updated

Dec 12, 2011By 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

State licenses

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1114295763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MAIN STREET",
            "city": "SELAWIK",
            "state": "AK",
            "postal_code": "997700180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAIN STREET",
            "city": "SELAWIK",
            "state": "AK",
            "postal_code": "997700180",
            "telephone_number": "907-484-2199",
            "fax_number": "907-484-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINGSBERGEN",
        "first_name": "MARY",
        "middle_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": "10-1059-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Compton
• Esther Dexter
• Marlene A Gray
• Bertha Greist, CHA-T
• Mildred Sarah Greist
• Maniilaq Association (Selawik Clinic)
• Maniilaq Association (Selawik Clinic)
• Herbert Darren Nazuruk, CHA III
• Nora Ramoth
• Lester Sampson, CHA-I

• Community Health Worker in Selawik, AK
• Providers in Selawik, 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 Dec 12, 2011; 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.