Jordan Annogiyuk, CHA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

Airport Road 151
Savoonga, AK 99769

Phone

(907) 984-6513

Fax

(907) 984-6068

NPI assigned

Apr 16, 2015

Last updated

Apr 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1861889941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AIRPORT ROAD 151",
            "address_2": "SAVOONGA CLINIC",
            "city": "SAVOONGA",
            "state": "AK",
            "postal_code": "99769",
            "telephone_number": "907-984-6513",
            "fax_number": "907-984-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AIRPORT ROAD 151",
            "city": "SAVOONGA",
            "state": "AK",
            "postal_code": "99769",
            "telephone_number": "907-984-6513",
            "fax_number": "907-984-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNOGIYUK",
        "first_name": "JORDAN",
        "credential": "CHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA-II",
            "identifier": "CHA-II",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lila R Akeya, CHA-T
• Rosemary Akeya, CHP
• Brianne Gologergen
• Dorothy Kava
• Darcie L Kingeekuk, CHA
• Joseph Kingeekuk
• Audrey Rose Kulowiyi

• Community Health Worker in Savoonga, AK
• Providers in Savoonga, AK by specialty
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.