Individual provider Active NPI

Audrey Renee Topkok, CHA-T

  • Community Health Worker
  • Nome, AK
National Provider Identifier
1508489055
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
85058 Clarence Road
Nome, AK 99762-9976
Phone
(907) 642-4311
Fax
(907) 642-2216
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X AK Primary

Addresses

Primary practice location

85058 Clarence Road
Nome, AK 99762-9976

Mailing address

PO Box 85058
Brevig Mission, AK 99785-0058
Phone (907) 642-4311

Other identifiers 1

IdentifierTypeStateIssuer
CHA-TOtherAKCHA-T

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Brevig

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

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1508489055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85058",
            "city": "BREVIG MISSION",
            "state": "AK",
            "postal_code": "997850058",
            "telephone_number": "907-642-4311",
            "fax_number": "907-642-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85058 CLARENCE ROAD",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997629976",
            "telephone_number": "907-642-4311",
            "fax_number": "907-642-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPKOK",
        "first_name": "AUDREY",
        "middle_name": "RENEE",
        "credential": "CHA-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA-T",
            "identifier": "CHA-T",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Brevig",
            "affiliation": "N",
            "address_1": "85058 Clarence Road",
            "city": "Nome",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997629976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nome, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.