Desiree Marie Davison, CHA-T
Community Health Worker in Nome, AK. Individual provider (NPI-1).
NPI number1508533407
StatusActive
Last updated in NPPESAug 27, 2021
Details
- NPI
- 1508533407
- Entity type
- Individual (NPI-1)
- Name
- Desiree Marie Davison
- Credential
- CHA-T
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2021
- Certification date
- Aug 10, 2021
- Last updated
- Aug 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | AK | Yes |
Practice location
1000 Greg Krushek AveNome, AK 99762-9976
Phone 907-890-3311 · Fax 907-890-2280
Mailing address
P.O. Box 69Elim, AK 99739-0069
Phone 907-890-3311 · Fax 907-890-2280
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Community Health Worker providers in Nome · All 386 providers in Nome
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