Frieda Tocktoo, CHA II

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

12-1223-11 Issued in AK

Practice address

85058 Clarence Road
Brevig Mission, AK 99785

Phone

(907) 642-4311

Fax

(907) 642-2216

NPI assigned

Apr 3, 2015

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Norton Sound Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brevig Mission, AK
  • NPI 1700477387
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2015.

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1851786016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 85058",
            "city": "BREVIG MISSION",
            "state": "AK",
            "postal_code": "99785",
            "telephone_number": "907-642-4311",
            "fax_number": "907-642-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85058 CLARENCE ROAD",
            "city": "BREVIG MISSION",
            "state": "AK",
            "postal_code": "99785",
            "telephone_number": "907-642-4311",
            "fax_number": "907-642-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOCKTOO",
        "first_name": "FRIEDA",
        "credential": "CHA II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": "12-1223-11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "12-1223-11",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillian A Olanna, CHA-T
• Marie Olanna, CHA-II
• Alaina N Pete, CHA-T
• Ida M Seetot, CHA-T
• Sara Johnee Elma Seetot

• All providers in Brevig Mission, AK
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.