IndividualActive
Thomas Jackon, COMMUNITY HEALTHAIDE
NPI 1104275189 · Community Health Worker · Kotzebue, AK
Thomas Jackon, COMMUNITY HEALTHAIDE is a Community Health Worker provider in Kotzebue, AK (NPI 1104275189).
Provider details
- NPI number
- 1104275189
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- COMMUNITY HEALTHAIDE
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES 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
436 5th Ted Stevens Way
Maniilaq Health Center
Kotzebue, AK 99752
Phone: (907) 442-7162
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 43
Noatak, AK 99752
Registry dates
- Enumerated
- 2016-06-09
- Last updated
- 2016-06-09
Frequently asked questions
- What is Thomas Jackon's NPI number?
- Thomas Jackon's National Provider Identifier (NPI) is 1104275189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Jackon's specialty?
- Thomas Jackon is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Thomas Jackon located?
- Thomas Jackon's practice location on file with NPPES is 436 5th Ted Stevens Way, Kotzebue, AK 99752.
- What is Thomas Jackon's phone number?
- The practice phone number listed in the NPPES registry for Thomas Jackon is (907) 442-7162.
- Is Thomas Jackon's NPI active?
- Yes — Thomas Jackon's NPI (1104275189) is active in the NPPES registry as of the last update on 2016-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.