Active NPI
Margaret Mary Simple
- Community Health Worker
- Fort Yukon, AK
National Provider Identifier
1609128859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 100 Spruce Street
Yukon Flats Health Center
Fort Yukon, AK 99740 - Phone
- (907) 662-7565
- Fax
- (907) 662-2709
- NPI assigned
- Oct 12, 2012
- Last updated
- Oct 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
100 Spruce Street
Yukon Flats Health Center
Fort Yukon, AK 99740
Mailing address
PO Box 309
Yukon Flats Health Center
Fort Yukon, AK 99740
Phone (907) 662-7565
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Council of Athabascan Tribal Governments | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Fort Yukon, AK
- NPI 1871704395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1609128859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"address_2": "YUKON FLATS HEALTH CENTER",
"city": "FORT YUKON",
"state": "AK",
"postal_code": "99740",
"telephone_number": "907-662-7565",
"fax_number": "907-662-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SPRUCE STREET",
"address_2": "YUKON FLATS HEALTH CENTER",
"city": "FORT YUKON",
"state": "AK",
"postal_code": "99740",
"telephone_number": "907-662-7565",
"fax_number": "907-662-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPLE",
"first_name": "MARGARET",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Yukon, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.