Active NPI
Billy David Shortland, CHAP
- Community Health Worker
- Old Harbor, AK
National Provider Identifier
1982831350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 214 Ding How Lane
Box 51
Old Harbor, AK 99643 - Phone
- (907) 286-2232
- NPI assigned
- Jun 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
214 Ding How Lane
Box 51
Old Harbor, AK 99643
Mailing address
214 Ding How Lane
Box 51
Old Harbor, AK 99643
Phone (907) 286-2232
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": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1982831350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 DING HOW LANE",
"address_2": "BOX 51",
"city": "OLD HARBOR",
"state": "AK",
"postal_code": "99643",
"telephone_number": "907-286-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 DING HOW LANE",
"address_2": "BOX 51",
"city": "OLD HARBOR",
"state": "AK",
"postal_code": "99643",
"telephone_number": "907-286-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORTLAND",
"first_name": "BILLY",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "CHAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-12",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Harbor, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.