Individual provider Active NPI

Sonja A Simpson, CHA III

  • Community Health Worker
  • Elim, AK
National Provider Identifier
1720347404
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
09-1035-III Issued in AK
Practice address
69 Moses Point Road
Elim, AK 99739
Phone
(907) 890-3311
Fax
(907) 890-2280
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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 09-1035-III AK Primary

Addresses

Primary practice location

69 Moses Point Road
Elim, AK 99739

Mailing address

69 Moses Point Road
Elim, AK 99739
Phone (907) 890-3311

Other identifiers 1

IdentifierTypeStateIssuer
09-1035-IIIOtherAKCHA III

Other names 1

  • Sonja A Bradley Former 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
09-1035-IIIAKMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1720347404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MOSES POINT ROAD",
            "city": "ELIM",
            "state": "AK",
            "postal_code": "99739",
            "telephone_number": "907-890-3311",
            "fax_number": "907-890-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MOSES POINT ROAD",
            "city": "ELIM",
            "state": "AK",
            "postal_code": "99739",
            "telephone_number": "907-890-3311",
            "fax_number": "907-890-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "SONJA",
        "middle_name": "A",
        "credential": "CHA III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": "09-1035-III",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA III",
            "identifier": "09-1035-III",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONJA",
            "last_name": "BRADLEY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elim, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.