Active NPI
Kristen George
- Community Health Worker
- Dillingham, AK
National Provider Identifier
1659004174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 22-1665-I
- Practice address
- 6000 Kanakanak Road
Dillingham, AK 99576 - Phone
- (907) 444-4338
- NPI assigned
- Jul 1, 2022
- Last updated
- Jul 1, 2022
- 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 | 22-1665-I | AK | Primary |
Addresses
Primary practice location
6000 Kanakanak Road
Dillingham, AK 99576
Mailing address
P.O. Box 130
Dillingham, AK 99576
Phone (907) 444-4338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-1665-I | Other | AK | CHAP BOARD |
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 |
|---|---|---|---|
| 22-1665-I | AK | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1659004174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 130",
"city": "DILLINGHAM",
"state": "AK",
"postal_code": "99576",
"telephone_number": "907-444-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 KANAKANAK ROAD",
"city": "DILLINGHAM",
"state": "AK",
"postal_code": "99576",
"telephone_number": "907-444-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "AK",
"license": "22-1665-I",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAP BOARD",
"identifier": "22-1665-I",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dillingham, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.