Camille Adrianne Batausa Tumanda, CHA-T

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

94 Baker Street
Saint Michael, AK 99659-0094

Phone

(907) 923-3311

Fax

(907) 923-2287

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Sep 16, 2024.

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1336976141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620966",
            "telephone_number": "907-443-3465",
            "fax_number": "907-443-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BAKER STREET",
            "city": "SAINT MICHAEL",
            "state": "AK",
            "postal_code": "996590094",
            "telephone_number": "907-923-3311",
            "fax_number": "907-923-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMANDA",
        "first_name": "CAMILLE ADRIANNE",
        "middle_name": "BATAUSA",
        "credential": "CHA-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Mamie-Cecelia Martin, CHA-T
• Joseph J Merculief, CHA-I
• John Milstead
• Norton Sound Health Corp
• Norton Sound Health Corporation
• Celeste Dawn Washington
• Stephanie Weaver I
• Jay-Ar Tagaan Zambas, CHA-T

• All providers in Saint Michael, AK
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.