Christen Marrielle King, PDHA I

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

725 Relay Road
Angoon, AK 99820

Phone

(907) 788-4655

NPI assigned

Nov 8, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922511385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHANNEL DR STE 300",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017837",
            "telephone_number": "907-463-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RELAY ROAD",
            "city": "ANGOON",
            "state": "AK",
            "postal_code": "99820",
            "telephone_number": "907-788-4655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3245 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017809",
            "country_code": "US",
            "telephone_number": "907-463-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Tongass Dr Rm E-2561",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998359416",
            "country_code": "US",
            "telephone_number": "907-966-8343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CHRISTEN",
        "middle_name": "MARRIELLE",
        "name_prefix": "Ms.",
        "credential": "PDHA I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-03-17",
        "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": "COMMUNITY HEALTH AIDE PROGRAM CERTIFICATION BOARD- FEDERAL CERTIFICATION",
            "identifier": "17-144-PDHA1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catholic Community Service (Angoon Senior Center)
• Tina Renee James-Gamble, DHA II
• Daniel Johnson Jr.
• Marcie Kookesh
• Sheila Marie Mitchell
• South East Alaska Regional Health Consortium (Angoon Health Center)
• Southeast Alaska Regional Health Consortium (SEARHC Angoon Behavioral Health)
• Lenora Walker, BHP

• Community Health Worker in Angoon, AK
• Providers in Angoon, 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 Mar 17, 2018; 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.