NPIMap

Organization Active NPI

Community Connections, Inc.

Doing business as Community Connections

  • Early Intervention Provider Agency
  • Ketchikan, AK
National Provider Identifier
1801079975
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
292852 Issued in AK
Legal business name
COMMUNITY CONNECTIONS, INC.
Doing business as
Community Connections
Practice address
721 Stedman St
Ketchikan, AK 99901-6632
Phone
(907) 225-7825
Fax
(907) 225-1541
NPI assigned
Dec 12, 2007
Last updated
Jul 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY CONNECTIONS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tandra ThompsonNPI 1770243115
Title
Executive Director
Phone
(907) 225-7825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 292852 AK Primary

Addresses

Primary practice location

721 Stedman St
Ketchikan, AK 99901-6632

Mailing address

721 Stedman St
Ketchikan, AK 99901-6632
Phone (907) 225-7825

Other practice location 1

1800 Craig Klawock Hwy Ste 241
Craig, AK 99921-0678
Phone (907) 826-3891

Other identifiers 1

IdentifierTypeStateIssuer
1031316MedicaidAK

Other names 1

  • Community Connections Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Connections13 organizations share this tax ID, including this one
Part of
Community Connections

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1801079975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 STEDMAN ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016632",
            "telephone_number": "907-225-7825",
            "fax_number": "907-225-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 STEDMAN ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016632",
            "telephone_number": "907-225-7825",
            "fax_number": "907-225-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Craig Klawock Hwy Ste 241",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "AK",
            "postal_code": "999210678",
            "country_code": "US",
            "telephone_number": "907-826-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY CONNECTIONS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CONNECTIONS, INC.",
        "enumeration_date": "2007-12-12",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-225-7825"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AK",
            "license": "292852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031316",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.