Renee Rose Kimaktoak, CHA-T
Community Health Worker in Nome, AK. Individual provider (NPI-1).
NPI number1609498484
StatusActive
Last updated in NPPESMay 14, 2020
Details
- NPI
- 1609498484
- Entity type
- Individual (NPI-1)
- Name
- Renee Rose Kimaktoak
- Credential
- CHA-T
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2020
- Certification date
- May 14, 2020
- Last updated
- May 14, 2020
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 99762-0966
Phone 907-624-3535 · Fax 907-624-3692
Mailing address
Po Box 189Unalakleet, AK 99684-0189
Phone 907-624-3535 · Fax 907-624-3692
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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