Individual provider Active NPI

Aaron Wayne Nassuk

  • Community Health Worker
  • Koyuk, AK
National Provider Identifier
1174920656
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
4TH Avenue
Koyuk, AK 99753
Phone
(907) 963-3311
Fax
(907) 963-3610
NPI assigned
Nov 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

4TH Avenue
Koyuk, AK 99753

Mailing address

4TH Avenue
Koyuk, AK 99753
Phone (907) 963-3311

Other identifiers 1

IdentifierTypeStateIssuer
CHA IOtherAKCHA I

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

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1174920656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4TH AVENUE",
            "city": "KOYUK",
            "state": "AK",
            "postal_code": "99753",
            "telephone_number": "907-963-3311",
            "fax_number": "907-963-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH AVENUE",
            "city": "KOYUK",
            "state": "AK",
            "postal_code": "99753",
            "telephone_number": "907-963-3311",
            "fax_number": "907-963-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSUK",
        "first_name": "AARON",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "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": "CHA I",
            "identifier": "CHA I",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Koyuk, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.