Emerson J Kvasnikoff

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

Maqiq Street
Nanwalek, AK 99603-6623

Phone

(907) 281-2250

Fax

(907) 281-2244

NPI assigned

Oct 21, 2014

Last updated

Oct 21, 2014By the provider in NPPES

Sex

Male

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1346644242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8023",
            "city": "NANWALEK",
            "state": "AK",
            "postal_code": "996036623",
            "telephone_number": "907-281-2250",
            "fax_number": "907-281-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAQIQ STREET",
            "city": "NANWALEK",
            "state": "AK",
            "postal_code": "996036623",
            "telephone_number": "907-281-2250",
            "fax_number": "907-281-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVASNIKOFF",
        "first_name": "EMERSON",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aquilina M Active
• Juanita Ann Bales
• Quanah Rene Brewster
• Chugachmiut (Nanwalek Clinic)
• Elias E Kvasnikoff, CHA III C
• Charlemagne Marie McMullen, CHP-C
• Nancy Radtke, B.H.P.
• Tania Virginia Lynn Romanoff
• Nicholi Ukatish-Gahimer, CHA-I
• Amy Jane Velsko, ANP, FNP-C

• Community Health Worker in Nanwalek, AK
• Providers in Nanwalek, 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 Oct 21, 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.

Verify at the official NPI Registry.