Active NPI
Esther Dexter
- Community Health Worker
- Selawik, AK
National Provider Identifier
1689941163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 10-1056-II
- Practice address
- # 3 Adams Landing-Old
Selawik, AK 99770-0180 - Phone
- (907) 484-2199
- Fax
- (907) 484-2119
- NPI assigned
- Nov 28, 2011
- Last updated
- Nov 28, 2011
- 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 | 10-1056-II | AK | Primary |
Addresses
Primary practice location
# 3 Adams Landing-Old
Selawik, AK 99770-0180
Mailing address
#3 Adams Landing-Old
P.O Box 180
Selawik, AK 99770-0180
Phone (907) 484-2199
Other names 1
- Mrs. Esther Tickett
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 |
|---|---|---|---|
| 10-1056-II | AK | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maniilaq Association | Past | Accepting new patients | |
| Maniilaq Association | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Maniilaq Health Center
- Critical Access Hospital
- Kotzebue, AK
- NPI 1316995210
-
dba Selawik Clinic
- Federal Public Health Clinic/Center
- Selawik, AK
- NPI 1821365552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1689941163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#3 ADAMS LANDING-OLD",
"address_2": "P.O BOX 180",
"city": "SELAWIK",
"state": "AK",
"postal_code": "997700180",
"telephone_number": "907-484-2199",
"fax_number": "907-484-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "# 3 ADAMS LANDING-OLD",
"city": "SELAWIK",
"state": "AK",
"postal_code": "997700180",
"telephone_number": "907-484-2199",
"fax_number": "907-484-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEXTER",
"first_name": "ESTHER",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "AK",
"license": "10-1056-II",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ESTHER",
"last_name": "TICKETT",
"prefix": "MRS.",
"credential": "CHA II",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Selawik, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.