Individual provider Active NPI

Katrina Raymond, CHA-T

  • Community Health Worker
  • Stebbins, AK
National Provider Identifier
1649650748
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
50 School Blvd
Stebbins, AK 99671
Phone
(907) 934-3311
Fax
(907) 934-3312
NPI assigned
Jun 3, 2015
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

50 School Blvd
Stebbins, AK 99671

Mailing address

P.O.Box 50
Stebbins, AK 99671
Phone (907) 934-3311

Other identifiers 1

IdentifierTypeStateIssuer
CHA-TOtherAKCHA-T

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1649650748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 50",
            "city": "STEBBINS",
            "state": "AK",
            "postal_code": "99671",
            "telephone_number": "907-934-3311",
            "fax_number": "907-934-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SCHOOL BLVD",
            "city": "STEBBINS",
            "state": "AK",
            "postal_code": "99671",
            "telephone_number": "907-934-3311",
            "fax_number": "907-934-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "KATRINA",
        "credential": "CHA-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "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": [],
    "other_names": []
}

Other providers in Stebbins, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.