Active NPI
Katrina Diane Wolfe, CNA
- Nurse's Aide
- Sitka, AK
National Provider Identifier
1366744690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 11756
- Practice address
- 222 Tongass Dr
Sitka, AK 99835-9416 - Phone
- (907) 738-2829
- NPI assigned
- Nov 18, 2010
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 11756 | AK | Primary |
Addresses
Primary practice location
222 Tongass Dr
Sitka, AK 99835-9416
Mailing address
PO Box 6001
Sitka, AK 99835-6001
Phone (907) 738-2829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11756 | Other | AK | DEPARTMENT OF COMMERCE, COMMUNITY, AND PROFESSIONAL LICENSING |
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 |
|---|---|---|---|
| 11756 | AK | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1366744690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6001",
"city": "SITKA",
"state": "AK",
"postal_code": "998356001",
"telephone_number": "907-738-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 TONGASS DR",
"city": "SITKA",
"state": "AK",
"postal_code": "998359416",
"telephone_number": "907-738-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "KATRINA",
"middle_name": "DIANE",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "AK",
"license": "11756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF COMMERCE, COMMUNITY, AND PROFESSIONAL LICENSING",
"identifier": "11756",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.