John Herman Yakanak II, BHA III, MSCP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

20174BHAIII Issued in AK

Practice address

705 Second St.
Cordova, AK 99574-2290

Phone

(907) 424-3622

Fax

(907) 424-3275

NPI assigned

Mar 19, 2021

Last updated

Mar 19, 2021By 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

State licenses

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.

• Native Village of Eyak

  dba Ilanka Community Health Center

  • Clinic/Center
  • Cordova, AK
  • NPI 1134471287
  NPD
• Native Village of Eyak

  • Community Health Clinic/Center
  • Cordova, AK
  • NPI 1821074535
  NPD

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1235715418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2290",
            "city": "CORDOVA",
            "state": "AK",
            "postal_code": "995742290",
            "telephone_number": "907-424-3622",
            "fax_number": "907-424-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SECOND ST.",
            "city": "CORDOVA",
            "state": "AK",
            "postal_code": "995742290",
            "telephone_number": "907-424-3622",
            "fax_number": "907-424-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKANAK",
        "first_name": "JOHN",
        "middle_name": "HERMAN",
        "name_suffix": "II",
        "credential": "BHA III, MSCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AK",
            "license": "20174BHAIII",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Mark Sundby, PH.D., LPC, CDC I
• Kanisha Lanae Tiedeman, DOULA
• Gilbert Lyle Urata, DMD
• Brittany Vanderwerf, DPT
• Adam Lee Woelk, MD

• Counselor in Cordova, AK
• Providers in Cordova, AK by specialty
• Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.