Joseph J Merculief, CHA-I

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

94 Baker Street
Saint Michael, AK 99659-0094

Phone

(907) 923-3311

Fax

(907) 923-2287

NPI assigned

Aug 15, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1609422641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 94",
            "city": "SAINT MICHAEL",
            "state": "AK",
            "postal_code": "996590094",
            "telephone_number": "907-923-3311",
            "fax_number": "907-923-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BAKER STREET",
            "city": "SAINT MICHAEL",
            "state": "AK",
            "postal_code": "996590094",
            "telephone_number": "907-923-3311",
            "fax_number": "907-923-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCULIEF",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "CHA-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "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-I",
            "identifier": "CHA-I",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CHA-I",
            "affiliation": "N",
            "endpointDescription": "CHA-I",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CHA-I",
            "address_1": "94 Baker Street",
            "city": "Saint Michael",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996590094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Camille Jacinta Katcheak, CHA-T
• Theresa Kobuk
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• Leann L Long, CHA-T
• Serena Mamie-Cecelia Martin, CHA-T
• John Milstead
• Norton Sound Health Corp
• Norton Sound Health Corporation
• Camille Adrianne Batausa Tumanda, CHA-T
• Celeste Dawn Washington

• All providers in Saint Michael, AK
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.