Shanelle Cree Bergamaschi, CHA-T
Individual provider Active NPI Community Health Worker · White Mountain, AK
NPI 1700515707 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1700515707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1 Scow John Road
White Mountain, AK 99784-0029 - Phone
- (907) 638-3311
- Fax
- (907) 638-2007
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1 Scow John Road
White Mountain, AK 99784-0029
Mailing address
PO Box 966
Nome, AK 99762-0966
Phone (907) 443-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHA-T | Other | CHA-T |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CHA-T | Other |
Other providers in White Mountain, AK
All providers in White Mountain, 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 7, 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.