Sophie M Kaningok, CHA-T

Individual provider Active NPI Community Health Worker · Gambell, AK

NPI 1669262127 · NPPES record last updated May 8, 2025

Key facts

NPI
1669262127
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
PO Box 190
Gambell, AK 99742-0190
Phone
(907) 985-5012
Fax
(907) 985-5085
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

PO Box 190
Gambell, AK 99742-0190

Mailing address

1000 Greg Krushek Ave
Nome, AK 99762-0966
Phone (907) 443-3311

Other providers in Gambell, AK

All providers in Gambell, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.