Elizabeth Jane Vollema, COMMUNITY HEALTH AID

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

110.5 Richardson Highway
Glennallen, AK 99588

Phone

(907) 822-4385

Fax

(907) 822-4384

NPI assigned

Feb 22, 2023

Last updated

Feb 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1619675287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "address_2": "TAZLINA VILLAGE CLINIC",
            "city": "GLENNALLEN",
            "state": "AK",
            "postal_code": "995880383",
            "telephone_number": "907-822-4385",
            "fax_number": "907-822-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110.5 RICHARDSON HIGHWAY",
            "city": "GLENNALLEN",
            "state": "AK",
            "postal_code": "99588",
            "telephone_number": "907-822-4385",
            "fax_number": "907-822-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLEMA",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "COMMUNITY HEALTH AID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Sarafin, LMT
• Kevin Brent Shedlock, DDS
• Jennifer Jean Titus
• Amanda Renee Tortorige, LPC; LCPC
• Sandra R Tsinnie
• Vickie J Willis, D.C.
• Darlette Joan Wilson
• Haille Winishut

• Community Health Worker in Glennallen, AK
• Providers in Glennallen, 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 Feb 22, 2023; 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.