Kristin Paniptchuk

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1St Main Street
Shaktoolik, AK 99771-0009

Phone

(907) 955-3311

Fax

(907) 955-2342

NPI assigned

May 10, 2017

Sex

Female

Sole proprietor

Yes

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)
  • Shaktoolik, AK
  • NPI 1265023725
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2022.

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1912433178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST MAIN STREET",
            "city": "SHAKTOOLIK",
            "state": "AK",
            "postal_code": "997710009",
            "telephone_number": "907-955-3311",
            "fax_number": "907-955-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST MAIN STREET",
            "city": "SHAKTOOLIK",
            "state": "AK",
            "postal_code": "997710009",
            "telephone_number": "907-955-3311",
            "fax_number": "907-955-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANIPTCHUK",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2022-10-21",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "CHA",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Alyse Nayokpuk, CHA-T
• Norton Sound Health Corp
• Norton Sound Health Corporation
• Janelle D Paniptchuk, CHA-T
• Jessie D Paniptchuk, CHA-T
• Isabell Patterson, CHA-I
• Leona Patterson, CHA-I
• Emmaleigh S Sagoonick, CHA-T
• Edna Savetilik, CHP

• All providers in Shaktoolik, AK
• Addiction (Substance Use Disorder) Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.