Active NPI
Saphire Dawn Christine Larsen, PDHA1
- Community Health Worker
- Sitka, AK
National Provider Identifier
1629612254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 19-155-PDHAI
- Practice address
- 222 Tongass Dr
Sitka, AK 99835-9416 - Phone
- (907) 966-8343
- Fax
- (907) 966-8663
- NPI assigned
- Nov 6, 2019
- 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 | 19-155-PDHAI | AK | Primary |
Addresses
Primary practice location
222 Tongass Dr
Sitka, AK 99835-9416
Mailing address
222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-8343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19-155 | Other | AK | PDHA 1 |
Other names 1
- Ms. Saphire Dawn Christine Larsen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Slarsen@searhc.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-155-PDHAI | AK | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1629612254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 TONGASS DR",
"city": "SITKA",
"state": "AK",
"postal_code": "998359416",
"telephone_number": "907-966-8343",
"fax_number": "907-966-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 TONGASS DR",
"city": "SITKA",
"state": "AK",
"postal_code": "998359416",
"telephone_number": "907-966-8343",
"fax_number": "907-966-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "SAPHIRE",
"middle_name": "DAWN CHRISTINE",
"name_prefix": "Ms.",
"credential": "PDHA1",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "AK",
"license": "19-155-PDHAI",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PDHA 1",
"identifier": "19-155",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Slarsen@searhc.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "222 Tongass Dr",
"city": "Sitka",
"state": "AK",
"country_code": "US",
"postal_code": "998359416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SAPHIRE",
"last_name": "LARSEN",
"middle_name": "DAWN CHRISTINE",
"prefix": "MS.",
"credential": "PDHA1",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.