Quanah Rene Brewster

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

64834 Nikita Street
Nanwalek, AK 99603

Phone

(907) 281-2250

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chugachmiut

  dba Nanwalek Clinic

  • Community Health Clinic/Center
  • Nanwalek, AK
  • NPI 1902077829
  NPD (past)

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1235696717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64834 NIKITA STREET",
            "city": "NANWALEK",
            "state": "AK",
            "postal_code": "99603",
            "telephone_number": "907-281-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64834 NIKITA STREET",
            "city": "NANWALEK",
            "state": "AK",
            "postal_code": "99603",
            "telephone_number": "907-281-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "QUANAH",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aquilina M Active
• Juanita Ann Bales
• Chugachmiut (Nanwalek Clinic)
• Elias E Kvasnikoff, CHA III C
• Emerson J Kvasnikoff
• Charlemagne Marie McMullen, CHP-C
• Nancy Radtke, B.H.P.

• Community Health Worker in Nanwalek, AK
• Providers in Nanwalek, 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 Feb 21, 2019; 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.