Shaina M Soonagrook, CHA-I

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

Airport Road 151
Savoonga, AK 99769-0151

Phone

(907) 984-6513

Fax

(907) 984-6068

NPI assigned

Aug 8, 2019

Last updated

Aug 8, 2019By 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

Other identifiers 1

Electronic endpoints 1

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1720633522",
    "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": "907-984-6513",
            "fax_number": "907-984-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AIRPORT ROAD 151",
            "city": "SAVOONGA",
            "state": "AK",
            "postal_code": "997690151",
            "telephone_number": "907-984-6513",
            "fax_number": "907-984-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOONAGROOK",
        "first_name": "SHAINA",
        "middle_name": "M",
        "credential": "CHA-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA-I",
            "identifier": "CHA-I",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CHA-I",
            "affiliation": "N",
            "endpointDescription": "CHA-I",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CHA-I",
            "address_1": "Airport Road 151",
            "city": "Savoonga",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997690151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Norton Sound Health Corporation
• Judith M Pelowook, CHA
• Danielle Reynolds, CHA III
• Ashley Mae Rookok, CHA-T
• Tiffany S. Rookok, CHA III
• Lisa Mae Toolie, CHA-T
• Nicholas Ernie Dan Waghiyi
• Vadim Vadimavich Yenan Jr., CHA-T

• Community Health Worker in Savoonga, AK
• Providers in Savoonga, 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 Aug 8, 2019; 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.