Individual provider Active NPI

Alaina N Pete, CHA-T

  • Community Health Worker
  • Brevig Mission, AK
National Provider Identifier
1619684735
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
85058 Clarence Road
Brevig Mission, AK 99769-5058
Phone
(907) 642-4311
Fax
(907) 642-2216
NPI assigned
Oct 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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
Brevig Mission, AK 99769-5058

Mailing address

PO Box 966
Nome, AK 99762-0966
Phone (907) 443-3311

Other identifiers 1

IdentifierTypeStateIssuer
CHA-TOtherAKCHA-T

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CHA-T Other

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": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1619684735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620966",
            "telephone_number": "907-443-3311",
            "fax_number": "907-443-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85058 CLARENCE ROAD",
            "city": "BREVIG MISSION",
            "state": "AK",
            "postal_code": "997695058",
            "telephone_number": "907-642-4311",
            "fax_number": "907-642-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETE",
        "first_name": "ALAINA",
        "middle_name": "N",
        "credential": "CHA-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-25",
        "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": "CHA-T",
            "affiliation": "N",
            "endpointDescription": "CHA-T",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CHA-T",
            "address_1": "85058 Clarence Road",
            "city": "Brevig Mission",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997695058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brevig Mission, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.