PHYLLIS L FARRELL


Address: 306 West 5th Ave, Nome, AK 99762-0966
Phone: 9074433311

PHYLLIS L FARRELL (NPI# 1861769796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861769796
Entity Type Individual
Full Name PHYLLIS L FARRELL
Credential C H P
Practice Address 306 West 5th Ave
Nome
AK 99762-0966
Mailing Address 306 W 5th Ave
Nome
AK 99762
Practice Telephone 9074433311
Practice Fax Number 9074433471
Mailing Telephone 9074433311
Mailing Fax Number 9074433471
Enumeration Date 2011-11-21
Last Update Date 2011-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker 00-439-P AK Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK 00-439-P HEALTH AIDE 01

Office Location

Street Address 306 WEST 5TH AVE
City NOME
State AK
Zip Code 99762-0966

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689644288 David Matthew Head Family Medicine 306 West 5th Ave, Nome, AK 99762-0966 2006-01-25
1467795419 Harry R Owens Jr. General Practice 306 West 5th Ave, Nome, AK 99762 2013-03-28
1760736672 Riley Bennett-vockner Physician Assistant 306 West 5th Ave, Nome, AK 99762 2012-10-30
1811263692 Mandi R Nisenbaum Case Manager/Care Coordinator 306 West 5th Ave, Nome, AK 99762 2012-03-27
1417220005 Catherine Jean Gonzales Dietitian, Registered 306 West 5th Ave, Nome, AK 99762 2012-02-14
1699044941 Deborah Ivanoff Dental Assistant 306 West 5th Ave, Nome, AK 99762 2011-12-15
1558630921 Robert Allen Curtis Dental Assistant 306 West 5th Ave, Nome, AK 99762 2011-12-14
1720357197 Aurora Johnson Dental Hygienist 306 West 5th Ave, Nome, AK 99762 2011-12-14
1639448004 Jerliyn Turner Dental Assistant 306 West 5th Ave, Nome, AK 99762 2011-12-14
1992072417 Janet H Amuktoolik Dental Assistant 306 West 5th Ave, Nome, AK 99762 2011-11-29
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Providers in the same zip code

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
1194122671 Crystal Lynn Fagerstrom Community Health Worker 39 Punguk Street, Golovin, AK 99762 2014-11-26
1699187161 Cynthia Barrand Counselor 1000 Greg Kruscheck, Nome, AK 99762 2014-06-02
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

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/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609498484 Renee Rose Kimaktoak Community Health Worker 1000 Greg Krushek Ave, Nome, AK 99762-0966 2020-05-14
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
1275954877 Helen Sockpick Community Health Worker 1000 Greg Kruseck Avenue, Box 966, Nome, AK 99760 2013-12-27
1891131561 Alvina Murphy Community Health Worker 1000 Greg Krushek, Ave, Nome, AK 99762-0966 2013-05-21
1508489055 Audrey Renee Topkok Community Health Worker 85058 Clarence Road, Nome, AK 99762-9976 2020-05-19
1235751025 Erika Lois Apatiki Community Health Worker 1000 Greg Krushek Ave, Nome, AK 99762-9976 2020-05-14
1982093647 Bessie Madeline Milligrock-ozenna Community Health Worker 1000 Greg Kruschek Ave, Nome, AK 99762 2015-01-20
1295098291 Rena Jennifer Booshu Community Health Worker 306 West 5th Avenue, Nome, AK 99762 2012-06-25
1649537770 Kristen Amaktoolik Community Health Worker 1000 Greg Krushek Ave, Nome, AK 99742-0966 2012-04-13
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Competitor

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City NOME
Zip Code 99762

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Dataset Information

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.

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