Carolyn Nora David, CHP
Individual provider Active NPI Community Health Worker · Copper Center, AK
NPI 1669902680 · NPPES record last updated Jun 10, 2022
Key facts
- NPI
- 1669902680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- PENDING (AK)
- Practice address
- 111.5 Richardson Highway
Copper Center, AK 99573-0508 - Phone
- (907) 822-5241
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copper River Native Association | Current |
Accepting new patients | |
| Copper River Native Association | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | PENDING | AK | Yes |
Addresses
Primary practice location
111.5 Richardson Highway
Copper Center, AK 99573-0508
Mailing address
111.5 Richardson Highway
Copper Center, AK 99573-0508
Phone (907) 822-5241
Other practice location 1
Mile 5.9 Mentasta Spur Road
Mentasta Lake, AK 99780
Phone (907) 291-2320
Other providers in Copper Center, AK
- Copper River Native Association
- Copper River Native Association
- Copper River Native Association
- Angel Craig
- Anna Carolyn Culp
- Evan Thomas Dunbar
- Lacayah Engebretson
- Felicia Lynne Ewan
- Alyson Maree Geldersma
- Jennifer Hamann
All providers in Copper Center, AK · Community Health Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.