Marie L Katchatag, CHP
Individual provider Active NPI Community Health Worker · Unalakleet, AK
NPI 1376810127 · NPPES record last updated Nov 22, 2011
Key facts
- NPI
- 1376810127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 07-927-P (AK)
- Practice address
- 189 Airport Road
Unalakleet, AK 99684-0189 - Phone
- (907) 624-3535
- Fax
- (907) 624-3692
- NPI assigned
- Nov 22, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07-927-P | AK | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Past | Accepting new patients | |
| Norton Sound Health Corporation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 07-927-P | AK | Yes |
Addresses
Primary practice location
189 Airport Road
Unalakleet, AK 99684-0189
Mailing address
189 Airport Road
Box 189
Unalakleet, AK 99684-0189
Phone (907) 624-3535
Other providers in Unalakleet, AK
- Anne Michele Ivanoff
- Henrietta B Ivanoff
- Sherilee Ivanoff
- Jacki Johnson
- Sharon M Johnson
- Cody V Martin
- Native Village of Unalakleet
- Norton Sound Health Corp
- Norton Sound Health Corporation
- Norton Sound Health Corporation
All providers in Unalakleet, AK · Community Health Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.