Elliott George Esmailka, CHA II

Key facts

NPI

1306345657

Entity type

Individual (NPI type 1)

Primary specialty

Community Health Worker 172V00000X

Practice address

3051 Main Street
Anaktuvuk Pass, AK 99721

Phone

(907) 661-3914

NPI assigned

Feb 1, 2018

Sex

Male

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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2018.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1306345657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21037",
            "city": "ANAKTUVUK PASS",
            "state": "AK",
            "postal_code": "997210037",
            "telephone_number": "907-987-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 MAIN STREET",
            "city": "ANAKTUVUK PASS",
            "state": "AK",
            "postal_code": "99721",
            "telephone_number": "907-661-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMAILKA",
        "first_name": "ELLIOTT",
        "middle_name": "GEORGE",
        "credential": "CHA II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Anaktuvuk Pass, AK · Community Health Worker in Alaska