Melissa M Kost, CHA-T

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1000 Greg Krushek Ave
Nome, AK 99762-0966

Phone

(907) 443-3311

Fax

(907) 443-3471

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1700663978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EAST 2ND AVENUE",
            "address_2": "P.O. BOX 70",
            "city": "KOYUK",
            "state": "AK",
            "postal_code": "997530070",
            "telephone_number": "907-963-3311",
            "fax_number": "907-963-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GREG KRUSHEK AVE",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620966",
            "telephone_number": "907-443-3311",
            "fax_number": "907-443-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOST",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "CHA-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Klescewski
• Marilyn Koezuna-Irelan
• Geena Koonooka
• Ina Koonooka
• Marina Koonooka, CHA-T
• Rhoda E Kotongan, CHA-T
• Jerry Kowchee Sr.
• Bertha Carol Koweluk
• Kendal Wagner Kruse, RD
• Sherry Kulukhon, CDC1

• Community Health Worker in Nome, AK
• Providers in Nome, AK by specialty
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.