CRYSTAL LYNN FAGERSTROM (NPI# 1194122671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194122671 |
| Entity Type | Individual |
| Full Name | CRYSTAL LYNN FAGERSTROM |
| Other Name | CRYSTAL LYNN NAGARUK |
| Practice Address |
39 Punguk Street Golovin AK 99762 |
| Practice Telephone | 9077793311 |
| Practice Fax Number | 9077793312 |
| Mailing Telephone | 9077793311 |
| Mailing Fax Number | 9077793312 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CHA III-C | CHA III-C | 01 |
| Street Address |
39 PUNGUK STREET |
| City | GOLOVIN |
| State | AK |
| Zip Code | 99762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030773 | Aura Chasteen | Counselor | 907 Division Street, Nome, AK 99762 | 2020-07-09 |
| 1043858210 | Nome Public Schools | Point of Service | 2920 3.5 Nome-teller Hwy, Nome, AK 99762 | 2019-12-18 |
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1891296489 | Yonaton Sahar Davidson | Counselor | Nome Community Center, Nome, AK 99762 | 2018-02-28 |
| 1588186605 | Jennifer R Dean-johnson | Case Manager/Care Coordinator | 1000 Greg Kruschev, Nome, AK 99762 | 2017-07-11 |
| 1457717340 | Kristy Kunayak | Community Health Worker | Front Street 7059, Little Diomede, AK 99762 | 2016-01-07 |
| 1265828743 | Diane Paniptchuk | Community Health Worker | 1000 Kruschak Ave, Nome, AK 99762 | 2015-04-10 |
| 1710384185 | Helen M Eningowuk | Community Health Worker | 1000 Greg Kruscheck Ave, Nome, AK 99762 | 2014-12-01 |
| 1699187161 | Cynthia Barrand | Counselor | 1000 Greg Kruscheck, Nome, AK 99762 | 2014-06-02 |
| 1235559014 | Bering Wellness Center | Chiropractor | 207 E King Pl, Nome, AK 99762 | 2014-04-21 |
| Find all providers in zip 99762 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670136 | Harriett G Henry | Community Health Worker | 62039 Daqumaaq Road, Golovin, AK 99762-2039 | 2019-10-11 |
| 1982971677 | Melissa N Lewis | Community Health Worker | 62039 Dagumaaq Road, Box 62039, Golovin, AK 99762-6203 | 2011-11-23 |
| 1831731512 | Keisha G Olanna | Community Health Worker | 62039 Daqumaaq Road, Golovin, AK 99762-2039 | 2019-10-14 |
| 1073880704 | Thomas N Nayokpuk | Community Health Worker | 62039 Dagumaaq Road, Golovin, AK 99762-6203 | 2011-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731716 | Pius R Phillip | Community Health Worker | 101 Anderson Street Clinic Road, Alakanuk, AK 99554 | 2020-05-15 |
| 1609498484 | Renee Rose Kimaktoak | Community Health Worker | 1000 Greg Krushek Ave, Nome, AK 99762-0966 | 2020-05-14 |
| 1316566482 | Rosanna Marie Mcarthur | Community Health Worker | 100 School Road, Chignik Bay, AK 99564 | 2020-04-09 |
| 1487283966 | Dollie A Hawley | Community Health Worker | Bering Street, Kivalina, AK 99750 | 2020-04-06 |
| 1861020802 | Elena Maryann Evan | Community Health Worker | Bay Side View 146, Goodnews Bay, AK 99589-0146 | 2020-03-27 |
| 1245877711 | Frankie Christine Standifer | Community Health Worker | 101 Indian Creek Road 82068, Tyonek, AK 99682-0068 | 2019-12-04 |
| 1194370619 | Natalia Lizbeth Navarro | Community Health Worker | 2 Salmonberry Road, Nikolai, AK 99691 | 2019-08-02 |
| 1174177943 | Pauline Alexandria Egrass | Community Health Worker | 10 Dnr Rd, Mc Grath, AK 99627-0010 | 2019-07-30 |
| 1043872609 | Judith M Pelowook | Community Health Worker | 151 Airport Road, Savoonga, AK 99769-0151 | 2019-07-03 |
| 1477115178 | Troy John Brandell | Community Health Worker | 172 Red Cove, Sand Point, AK 99661 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.