Jackie Eningowuk, CHA-T
Individual provider Active NPI Community Health Worker · Shishmaref, AK
NPI 1760848261 · NPPES record last updated Jan 13, 2016
Key facts
- NPI
- 1760848261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 123 Oceanview
Shishmaref, AK 99772 - Phone
- (907) 649-3311
- Fax
- (907) 649-2083
- NPI assigned
- Jan 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | AK | Yes |
Addresses
Primary practice location
123 Oceanview
Shishmaref, AK 99772
Mailing address
123 Oceanview
Shishmaref, AK 99772
Phone (907) 649-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHA-T | Other | AK | CHA-T |
Other providers in Shishmaref, AK
- Frieda Eningowuk
- Christopher Fowler
- Helen K Kakoona
- Dolly Irene Kiyutelluk
- Alan A Kuzuguk
- Renee Bertha Kuzuguk
All providers in Shishmaref, AK · Community Health Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.