OrganizationActive
Havasupai Tribe Head Start
NPI 1104112655 · Community Health Worker · Supai, AZ
Havasupai Tribe Head Start is a Community Health Worker organization in Supai, AZ (NPI 1104112655).
Provider details
- NPI number
- 1104112655
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- Jacqueline Siyuja, Health Coordinator(928) 448-2821
- License
- 172V00000X (AZ)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% 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
130 Main St.
Supai, AZ 86435-0130
Phone: (928) 448-2821
Fax: (928) 448-2341
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 130
Supai, AZ 86435-0130
Registry dates
- Enumerated
- 2011-06-23
- Last updated
- 2011-06-23
Frequently asked questions
- What is Havasupai Tribe Head Start's NPI number?
- Havasupai Tribe Head Start's National Provider Identifier (NPI) is 1104112655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Havasupai Tribe Head Start?
- Havasupai Tribe Head Start is classified in the NPPES registry as Community Health Worker (Other Service Providers).
- Where is Havasupai Tribe Head Start located?
- Havasupai Tribe Head Start's practice location on file with NPPES is 130 Main St., Supai, AZ 86435-0130.
- What is Havasupai Tribe Head Start's phone number?
- The practice phone number listed in the NPPES registry for Havasupai Tribe Head Start is (928) 448-2821.
- Who is the authorized official for Havasupai Tribe Head Start?
- The authorized official listed on Havasupai Tribe Head Start's NPPES record is Jacqueline Siyuja, Health Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Havasupai Tribe Head Start's NPI active?
- Yes — Havasupai Tribe Head Start's NPI (1104112655) is active in the NPPES registry as of the last update on 2011-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.