Kim E Damrill III, COMMUNITY HEALTHAIDE

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

200 1St Ave
Fairbanks, AK 99701-4805

Phone

(907) 451-6682

NPI assigned

Jun 29, 2026

Sex

Female

Sole proprietor

No

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": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1730005042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014805",
            "telephone_number": "907-451-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014805",
            "telephone_number": "907-451-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMRILL",
        "first_name": "KIM",
        "middle_name": "E",
        "name_suffix": "III",
        "credential": "COMMUNITY HEALTHAIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna M Daku, PA-C
• Thomas Manford Dale III, PA
• Dallas Norman LPC LLC
• Holly Eileen Dallett
• Roseann Marie Dameron, DDS
• Desiree Dan
• Jennifer Ann Danhauser, LPC
• Daniel M. Bergeron, D.D.S., P.C.
• Daniel R Johnson, D.O.
• Delilah Marie Daniel

• All providers in Fairbanks, AK
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.