IndividualActive
Aenoi Kinnavongsa
NPI 1962251314 · Community Health Worker · Ogden, UT
Provider details
- NPI number
- 1962251314
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1456 Capitol St
Ogden, UT 84401-2910
Phone: (801) 604-1674
Street-level locationGet directions
Mailing address
1456 Capitol St
Ogden, UT 84401-2910
Additional practice locations (1)
- 934 S Main StLayton, UT 84041-7135Phone: (801) 336-1845
Registry dates
- Enumerated
- 2024-05-17
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.