Healthcare Provider Details

I. General information

NPI: 1821914664
Provider Name (Legal Business Name): KATHERINE JONES CHA-T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 110
AMBLER AK
99786-0110
US

IV. Provider business mailing address

PO BOX 43 MANIILAQ ASSOCIATION
KOTZEBUE AK
99752-0043
US

V. Phone/Fax

Practice location:
  • Phone: 907-445-2129
  • Fax: 907-445-2179
Mailing address:
  • Phone: 907-442-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: