Chelsie Dawn Hobart, PDHA I

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

7300 A Klawock Hollis Highway
Klawock, AK 99925

Phone

(907) 755-4918

Fax

(907) 755-4811

NPI assigned

Apr 25, 2012

Sex

Female

Sole proprietor

Yes

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.

• Searhc

  • Dental Assistant
  • Klawock, AK
  • NPI 1053695247
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1588922751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "999250069",
            "telephone_number": "907-755-4918",
            "fax_number": "907-755-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 A KLAWOCK HOLLIS HIGHWAY",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "99925",
            "telephone_number": "907-755-4918",
            "fax_number": "907-755-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBART",
        "first_name": "CHELSIE",
        "middle_name": "DAWN",
        "credential": "PDHA I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH AIDE PROGRAM CERTIFICATION BOARD - FEDERAL CERTIFICATION",
            "identifier": "11-072-PDHAI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Louise George, PDHA I
• Daniel Philip Guidera, DDS
• Stephanie Lynn Haseltine
• Madison Elizabeth Heppe
• Diane Ella Hill, PA-C
• Tammy Jackson
• Ellen Lorraine Kemper, M.D.
• Daniel Bernard Kennedy, DHAT
• Brenda Leask
• Eva Maloney

• All providers in Klawock, AK
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.