IndividualActive
Isaiah Rericha-Nicholson
NPI 1174239008 · Community Health Worker · Fairbanks, AK
Isaiah Rericha-Nicholson is a Community Health Worker provider in Fairbanks, AK (NPI 1174239008).
Provider details
- NPI number
- 1174239008
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
209 Forty Mile Ave
Fairbanks, AK 99701-3110
Phone: (907) 456-6445
Street-level locationGet directions
Mailing address
209 Forty Mile Ave
Fairbanks, AK 99701-3110
Registry dates
- Enumerated
- 2023-01-24
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Frequently asked questions
- What is Isaiah Rericha-Nicholson's NPI number?
- Isaiah Rericha-Nicholson's National Provider Identifier (NPI) is 1174239008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Isaiah Rericha-Nicholson's specialty?
- Isaiah Rericha-Nicholson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Isaiah Rericha-Nicholson located?
- Isaiah Rericha-Nicholson's practice location on file with NPPES is 209 Forty Mile Ave, Fairbanks, AK 99701-3110.
- What is Isaiah Rericha-Nicholson's phone number?
- The practice phone number listed in the NPPES registry for Isaiah Rericha-Nicholson is (907) 456-6445.
- Is Isaiah Rericha-Nicholson's NPI active?
- Yes — Isaiah Rericha-Nicholson's NPI (1174239008) is active in the NPPES registry as of the last update on 2023-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.