Kim Myomi Adiele, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

829 Chief Eddie Hoffman Hwy
Bethel, AK 99559-0528

Phone

(907) 543-6100

Fax

(907) 543-6159

NPI assigned

Jan 27, 2014

Last updated

Oct 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kim Myomi Parraway Former name

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": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1407279565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "address_2": "ATTN: BEHAVIORAL HEALTH",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590528",
            "telephone_number": "907-543-6100",
            "fax_number": "907-543-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 CHIEF EDDIE HOFFMAN HWY",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590528",
            "telephone_number": "907-543-6100",
            "fax_number": "907-543-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIELE",
        "first_name": "KIM",
        "middle_name": "MYOMI",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020986",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "PARRAWAY",
            "middle_name": "MYOMI",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Active
• Maxine Active
• Lyssa N Adams
• Wyndi Rachele Adams, R.T.(R)
• Bethel Uchenna Adiele, MSW
• Kwadwo Nartey Adonu
• Angelica Afcan, DHAT
• Balasia Afcan
• Mary Afcan
• Kayleen Agathluk

• Social Worker in Bethel, AK
• Providers in Bethel, AK by specialty
• Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.