Charlene Rae Pool

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1825 Marika Rd
Fairbanks, AK 99709-5521

Phone

(907) 474-0890

NPI assigned

Jul 10, 2023

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

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1992483036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 ORCA CT",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997011408",
            "telephone_number": "907-388-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MARIKA RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095521",
            "telephone_number": "907-474-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "CHARLENE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polar Wind Medical Center, Inc.
• McKenzie Polsak
• Douglas R Pomeroy, PH.D.
• Michael Pomeroy, PA-C
• Elaine Ponchione, ANP, RN, PSY. A.
• Colleen Porter, OTR/L
• Asia Pouncy
• Elec Powell
• Laura Powell
• Heather Powers

• Community Health Worker in Fairbanks, AK
• Providers in Fairbanks, 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 Jul 10, 2023; 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.