Lenette Starr Marie Hermans

Individual provider Active NPI Community Health Worker · Palmer, AK

NPI 1972261998 · NPPES record last updated Dec 7, 2021

Key facts

NPI
1972261998
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
550 S Alaska St Ste 202
Palmer, AK 99645-6372
Phone
(907) 746-6019
Fax
(907) 745-7565
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Daybreak Incorporated Current
since Dec 12, 2021
Accepting new patients

Locations

550 S Alaska St
Ste 202
Palmer, AK 99645
Phone (907) 746-6019

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

550 S Alaska St Ste 202
Palmer, AK 99645-6372

Mailing address

550 S Alaska St Ste 202
Palmer, AK 99645-6372
Phone (907) 746-6019

Other providers in Palmer, AK

All providers in Palmer, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.