Individual provider Active NPI

Helen K Kakoona, CHA-T

  • Community Health Worker
  • Shishmaref, AK
National Provider Identifier
1912520545
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
123 Oceanview
Shishmaref, AK 99772-9977
Phone
(907) 649-3311
Fax
(907) 649-2083
NPI assigned
May 18, 2020
Last updated
May 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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 AK Primary

Addresses

Primary practice location

123 Oceanview
Shishmaref, AK 99772-9977

Mailing address

PO Box 966
Nome, AK 99762-0966
Phone (907) 649-3311

Other identifiers 1

IdentifierTypeStateIssuer
CHA-TOtherAKCHA-T

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Nome 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": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1912520545",
    "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": "907-649-3311",
            "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": "997729977",
            "telephone_number": "907-649-3311",
            "fax_number": "907-649-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKOONA",
        "first_name": "HELEN",
        "middle_name": "K",
        "credential": "CHA-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA-T",
            "identifier": "CHA-T",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nome",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Shishmaref",
            "address_1": "123 Oceanview",
            "city": "Shishmaref",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997729977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shishmaref, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.