Lillian N Kinegak

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

934 Main Street
St. George, AK 99591

Phone

(907) 859-2254

Fax

(907) 859-2252

NPI assigned

Sep 14, 2010

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aleutian Pribilof Islands Association, Inc

  • Community Health Clinic/Center
  • St. George, AK
  • NPI 1013079755

  Community Health Worker

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1467760355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E INTERNATIONAL AIRPORT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181408",
            "telephone_number": "907-276-2700",
            "fax_number": "907-222-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 MAIN STREET",
            "city": "ST. GEORGE",
            "state": "AK",
            "postal_code": "99591",
            "telephone_number": "907-859-2254",
            "fax_number": "907-859-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINEGAK",
        "first_name": "LILLIAN",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleutian Pribilof Islands Association, Inc
• Justina Phillip

• Community Health Worker in St. George, AK
• Providers in St. George, 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 Sep 14, 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.

Verify at the official NPI Registry.