Cara Paige Alexandra Lestenkof-Mandregan, CHA-1

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1000 Polovina Turnpike
St. Paul Island, AK 99660

Phone

(907) 546-8300

NPI assigned

Dec 19, 2018

Last updated

Dec 19, 2018By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1316419096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POLOVINA TURNPIKE",
            "city": "ST. PAUL ISLAND",
            "state": "AK",
            "postal_code": "99660",
            "telephone_number": "907-546-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLOVINA TURNPIKE",
            "city": "ST. PAUL ISLAND",
            "state": "AK",
            "postal_code": "99660",
            "telephone_number": "907-546-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTENKOF-MANDREGAN",
        "first_name": "CARA",
        "middle_name": "PAIGE ALEXANDRA",
        "credential": "CHA-1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Saint Paul
• Frederick Samuel Greene, PAC
• Barbra J Keller, FNP-C
• Kimbreyana Chantee McDuffie, APRN, FNP-C
• Cheryl Melovidov, REGISTERED NURSE
• Tribal Government of St. Paul Island (Aleut Community of St. Paul Island)

• Community Health Worker in Saint Paul Island, AK
• Providers in Saint Paul Island, 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 Dec 19, 2018; 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.