IndividualActive
Khadijah Johnson
NPI 1063380590 · Community Health Worker · Fairbanks, AK
Khadijah Johnson is a Community Health Worker provider in Fairbanks, AK (NPI 1063380590).
Provider details
- NPI number
- 1063380590
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3101 Lathrop St
Fairbanks, AK 99701-7426
Phone: (907) 474-0890
Approximate (ZIP-level) locationGet directions
Mailing address
1315 23rd Ave
Fairbanks, AK 99701-6701
Registry dates
- Enumerated
- 2025-10-27
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Frequently asked questions
- What is Khadijah Johnson's NPI number?
- Khadijah Johnson's National Provider Identifier (NPI) is 1063380590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khadijah Johnson's specialty?
- Khadijah Johnson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Khadijah Johnson located?
- Khadijah Johnson's practice location on file with NPPES is 3101 Lathrop St, Fairbanks, AK 99701-7426.
- What is Khadijah Johnson's phone number?
- The practice phone number listed in the NPPES registry for Khadijah Johnson is (907) 474-0890.
- Is Khadijah Johnson's NPI active?
- Yes — Khadijah Johnson's NPI (1063380590) is active in the NPPES registry as of the last update on 2025-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.