Active NPI
Jody Hatch
- Community Health Worker
- Chistochina, AK
National Provider Identifier
1356600506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 12-1174-III
- Practice address
- Mile 34 Tok Cutoff
Chistochina, AK 99586 - Phone
- (907) 822-3280
- Fax
- (907) 822-3944
- NPI assigned
- May 9, 2012
- Last updated
- May 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 12-1174-III | AK | Primary |
Addresses
Primary practice location
Mile 34 Tok Cutoff
Chistochina, AK 99586
Mailing address
PO Box 357
Mile 33 Tok Cutoff
Gakona, AK 99586-0357
Phone (907) 822-5399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-1174-III | AK | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1356600506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357",
"address_2": "MILE 33 TOK CUTOFF",
"city": "GAKONA",
"state": "AK",
"postal_code": "995860357",
"telephone_number": "907-822-5399",
"fax_number": "907-822-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MILE 34 TOK CUTOFF",
"city": "CHISTOCHINA",
"state": "AK",
"postal_code": "99586",
"telephone_number": "907-822-3280",
"fax_number": "907-822-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "JODY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "AK",
"license": "12-1174-III",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chistochina, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.