Katrina Dillard
Individual provider Active NPI Community Health Worker · Northway, AK
NPI 1225873128 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1225873128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- PO Box 517
Northway, AK 99764-0517 - Phone
- (907) 505-0122
- NPI assigned
- Jul 1, 2024
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
PO Box 517
Northway, AK 99764-0517
Mailing address
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 452-8251
Other providers in Northway, AK
All providers in Northway, AK · Community Health Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.