Flora Paukan Sr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

St Mary's SRC
St Marys, AK 99658

Phone

(907) 438-3523

Fax

(907) 438-3541

NPI assigned

May 23, 2007

Last updated

Jul 9, 2007By 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

Other identifiers 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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124238829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590528",
            "telephone_number": "907-543-6100",
            "fax_number": "907-543-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST MARY'S SRC",
            "city": "ST MARYS",
            "state": "AK",
            "postal_code": "99658",
            "telephone_number": "907-438-3523",
            "fax_number": "907-438-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUKAN",
        "first_name": "FLORA",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA4442",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sasha Alena Donene Isaac
• Helen M Joe
• William F Kelly
• Janelle Lamont
• Eileen I Lawson, PAC
• Milo Paukan
• Tiara Catherine Sage, PDHA
• St Marys School District
• Christopher J Weingarth
• Yukon Kuskokwim Health Corporation

• Mental Health Counselor in St. Mary's, AK
• Providers in St. Mary's, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.