Susan Burpee

Individual provider Active NPI Community Health Worker · Homer, AK

NPI 1124629944 · NPPES record last updated Nov 10, 2020

Key facts

NPI
1124629944
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
3948 Ben Walters LN
Homer, AK 99603-7708
Phone
(907) 235-7701
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

3948 Ben Walters LN
Homer, AK 99603-7708

Mailing address

3948 Ben Walters LN
Homer, AK 99603-7708
Phone (907) 235-7701

Other identifiers

IdentifierTypeStateIssuer
1020987MedicaidAK

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sburpee@spbhs.org

Other providers in Homer, AK

All providers in Homer, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.