Tammie David

Key facts

NPI

1265839740

Entity type

Individual (NPI type 1)

Primary specialty

Community Health Worker 172V00000X

Practice address

North of Church 69
Elim, AK 99739

Phone

(907) 890-3311

Fax

(907) 890-2280

NPI assigned

Nov 26, 2014

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

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 26, 2014.

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1265839740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH OF CHURCH 69",
            "city": "ELIM",
            "state": "AK",
            "postal_code": "99739",
            "telephone_number": "907-890-3311",
            "fax_number": "907-890-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH OF CHURCH 69",
            "city": "ELIM",
            "state": "AK",
            "postal_code": "99739",
            "telephone_number": "907-890-3311",
            "fax_number": "907-890-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "TAMMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "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 II",
            "identifier": "CHA II",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elim, AK

• Alice Amaktoolik
• Ronald Daniels, CHA
• Tracy Marie Davison
• Mary Ann A Keith, CHA III
• Janelle Murray, B.H.A. I
• Cheryl Nagaruk, CHA-T
• Beverly Nakarak, CHA-I

All providers in Elim, AK · Community Health Worker in Alaska