Frieda Eningowuk, CHA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

123 Oceanview
Shishmaref, AK 99772-0133

Phone

(907) 649-3311

Fax

(907) 649-2083

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

Yes

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1891241444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 OCEANVIEW",
            "city": "SHISHMAREF",
            "state": "AK",
            "postal_code": "997720133",
            "telephone_number": "907-649-3311",
            "fax_number": "907-649-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 OCEANVIEW",
            "city": "SHISHMAREF",
            "state": "AK",
            "postal_code": "997720133",
            "telephone_number": "907-649-3311",
            "fax_number": "907-649-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENINGOWUK",
        "first_name": "FRIEDA",
        "credential": "CHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "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",
            "identifier": "CHA",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackie Eningowuk, CHA-T
• Christopher Fowler, CHA
• Helen K Kakoona, CHA-T
• Dolly Irene Kiyutelluk
• Alan A Kuzuguk, CHA

• Community Health Worker in Shishmaref, AK
• Providers in Shishmaref, 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 Sep 1, 2016; 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.