Stacy Harvill

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3741 Christie Dr
North Pole, AK 99705-6650

Phone

(907) 322-0526

NPI assigned

Mar 3, 2025

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1700683273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56478",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997051478",
            "telephone_number": "907-322-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 CHRISTIE DR",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056650",
            "telephone_number": "907-322-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVILL",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guidon Pediatric Therapy, LLC
• Danielle N Gutierrez, LPC
• Louis Gregeory Haase, PT, DPT
• Wallace J Harrison Jr, DC
• Jeremy Robert Harvill
• Sandra L Hembree
• Brianne Henderson, PTA
• Amy Ann Hendrickson
• Bonny J Holm, LPN
• Leif Joseph Holm, PHARMD., RPH.

• Community Health Worker in North Pole, AK
• Providers in North Pole, 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 Mar 3, 2025; 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.