HAVASUPAI TRIBE HEAD START
NPI 1104112655
Community Health Worker in Supai, AZ

Active since June 23, 2011
130 MAIN ST., SUPAI, AZ 86435(928) 448-2821(928) 448-2341 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Havasupai Tribe Head Start NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVASUPAI TRIBE HEAD START (NPI 1104112655) is a healthcare organization registered as a community health worker in Supai, Arizona and active in the NPI registry since June 2011. The organization lists Jacqueline K. Siyuja, Health Coordinator, as its authorized official.

NPPES Registry Identity

NPI1104112655
Entity TypeOrganization
Primary Taxonomy172V00000X
Legal Business NameHAVASUPAI TRIBE HEAD START
Location Address130 MAIN ST.Supai, AZ 86435-0130
Mailing AddressPo Box 130Supai, AZ 86435-0130 · (928) 448-2821 · Fax (928) 448-2341
Fax(928) 448-2341
Organization SubpartNo
Authorized OfficialJacqueline K. SiyujaHealth Coordinator · (928) 448-2821
Enumeration DateJune 23, 2011
NPI 1104112655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
License Licensed in AZ · 172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
130 MAIN ST., Supai, AZ 86435

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Havasupai Tribe Head Start's NPI number?

The NPI number for Havasupai Tribe Head Start is 1104112655. It was assigned to this organization in the NPPES registry on June 23, 2011.

Where is Havasupai Tribe Head Start located?

Havasupai Tribe Head Start is located at 130 Main St., Supai, AZ 86435. The listed phone number is (928) 448-2821.

What is Havasupai Tribe Head Start's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Havasupai Tribe Head Start was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.