Audrey Rose Kulowiyi

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

Airport Road
Savoonga, AK 99769

Phone

(907) 984-6635

Fax

(907) 984-6050

NPI assigned

Feb 27, 2020

Last updated

Feb 27, 2020By 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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1720612856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "SAVOONGA",
            "state": "AK",
            "postal_code": "997690151",
            "telephone_number": "907-984-6635",
            "fax_number": "907-984-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AIRPORT ROAD",
            "city": "SAVOONGA",
            "state": "AK",
            "postal_code": "99769",
            "telephone_number": "907-984-6635",
            "fax_number": "907-984-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULOWIYI",
        "first_name": "AUDREY",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Annogiyuk, CHA
• Brianne Gologergen
• Dorothy Kava
• Darcie L Kingeekuk, CHA
• Joseph Kingeekuk
• Naomi Madsen
• Chelsea R Miklahook- Noongwook, CHA
• Chantal Miklahook, CHA
• Merton T Miklahook, CHA
• Shana Noongwook

• Addiction (Substance Use Disorder) Counselor in Savoonga, AK
• Providers in Savoonga, AK by specialty
• Addiction (Substance Use Disorder) Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.