Jaimie M Church

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

6100 W Robin Hood Lane
Wasilla, AK 99623

Phone

(907) 841-6450

NPI assigned

Jul 2, 2018

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1801382981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298011",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996298011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 W ROBIN HOOD LANE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99623",
            "telephone_number": "907-841-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "JAIMIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chroi
• Brigid Sy Chua-Hackett, LPC
• Lynda J. Chud
• Chugiak Senior Citizens, Inc.
• Anna Kim Chung
• Lara Diane Church, MD
• Megan Ciana
• Alejandro Jay Cielo
• Kiara Cielo
• Wayne Anthony Cissell, D.C.

• Social Worker in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.