Individual provider Active NPI

Cecelia Tingook, CHA

  • Community Health Worker
  • Wales, AK
National Provider Identifier
1831567544
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
530 Snowbank Street
Wales, AK 99783-0530
Phone
(907) 664-3311
Fax
(907) 664-2135
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X AK Primary

Addresses

Primary practice location

530 Snowbank Street
Wales, AK 99783-0530

Mailing address

530 Snowbank Street
Wales, AK 99783-0530
Phone (907) 664-3311

Other identifiers 1

IdentifierTypeStateIssuer
CHAOtherAKCHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1831567544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SNOWBANK STREET",
            "city": "WALES",
            "state": "AK",
            "postal_code": "997830530",
            "telephone_number": "907-664-3311",
            "fax_number": "907-664-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SNOWBANK STREET",
            "city": "WALES",
            "state": "AK",
            "postal_code": "997830530",
            "telephone_number": "907-664-3311",
            "fax_number": "907-664-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGOOK",
        "first_name": "CECELIA",
        "credential": "CHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "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",
            "identifier": "CHA",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wales, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.