Sulietilolohea Tea, CHA III
Individual provider Active NPI Community Health Worker · Anaktuvuk Pass, AK
NPI 1669971917 · NPPES record last updated Feb 1, 2018
Key facts
- NPI
- 1669971917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 3051 Main Street
Anaktuvuk Pass, AK 99721 - Phone
- (907) 661-3914
- NPI assigned
- Feb 1, 2018
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
3051 Main Street
Anaktuvuk Pass, AK 99721
Mailing address
3105 Willow St Apt 3
Anchorage, AK 99517-1971
Other names
- Lolo Tea
Other providers in Anaktuvuk Pass, AK
All providers in Anaktuvuk Pass, 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 Feb 1, 2018. 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.