Active NPI
Kelly V Babich
- Community Health Worker
- St. Mary's, AK
National Provider Identifier
1265770374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 310 Hospital Road
Saint Mary's, AK 99658-0310 - Phone
- (907) 438-3500
- Fax
- (907) 438-3541
- NPI assigned
- Jan 24, 2013
- Last updated
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
310 Hospital Road
Saint Mary's, AK 99658-0310
Mailing address
PO Box 310
Saint Marys, AK 99658-0310
Phone (907) 438-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020986 | Medicaid | AK |
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": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1265770374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "SAINT MARYS",
"state": "AK",
"postal_code": "996580310",
"telephone_number": "907-438-3500",
"fax_number": "907-438-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 HOSPITAL ROAD",
"city": "SAINT MARY'S",
"state": "AK",
"postal_code": "996580310",
"telephone_number": "907-438-3500",
"fax_number": "907-438-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABICH",
"first_name": "KELLY",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-24",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020986",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in St. Mary's, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.