Individual provider Active NPI

Sara Daly

  • Community Health Worker
  • Saint Michael, AK
National Provider Identifier
1669870366
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1 Baker Strett
Saint Michael, AK 99659
Phone
(907) 923-3311
Fax
(907) 923-2287
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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 Primary

Addresses

Primary practice location

1 Baker Strett
Saint Michael, AK 99659

Mailing address

1 Baker Strett
Saint Michael, AK 99659
Phone (907) 923-3311

Other identifiers 1

IdentifierTypeStateIssuer
CHA IIOtherAKCHA II

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1669870366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAKER STRETT",
            "city": "SAINT MICHAEL",
            "state": "AK",
            "postal_code": "99659",
            "telephone_number": "907-923-3311",
            "fax_number": "907-923-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAKER STRETT",
            "city": "SAINT MICHAEL",
            "state": "AK",
            "postal_code": "99659",
            "telephone_number": "907-923-3311",
            "fax_number": "907-923-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA II",
            "identifier": "CHA II",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Michael, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.