Individual provider Active NPI

Cheray Alish Richardson, CHA-T

  • Community Health Worker
  • St.Michael, AK
National Provider Identifier
1891424909
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
94 Baker Street
St.Michael, AK 99659-0094
Phone
(907) 923-3311
Fax
(907) 923-2287
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 Primary

Addresses

Primary practice location

94 Baker Street
St.Michael, AK 99659-0094

Mailing address

PO Box 966
Nome, AK 99762-0966
Phone (907) 443-3311

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CHA-T Other

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1891424909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620966",
            "telephone_number": "907-443-3311",
            "fax_number": "907-443-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BAKER STREET",
            "city": "ST.MICHAEL",
            "state": "AK",
            "postal_code": "996590094",
            "telephone_number": "907-923-3311",
            "fax_number": "907-923-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CHERAY",
        "middle_name": "ALISH",
        "credential": "CHA-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CHA-T",
            "affiliation": "N",
            "endpointDescription": "CHA-T",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CHA-T",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CHA-T",
            "address_1": "94 Baker Street",
            "city": "St.Michael",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996590094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St.Michael, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.