Individual provider Active NPI

Esther Dexter

  • Community Health Worker
  • Selawik, AK
National Provider Identifier
1689941163
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
10-1056-II Issued in AK
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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 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 Other name

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

LicenseStateTypeSpecialty
10-1056-IIAKMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.