ANTOINETTE GRACE SULLIVAN LMSW
NPI 1427889021
Community Health Worker in Anchorage, AK
NPI Status: Active since August 13, 2024
Contact Information
3000 C ST STE 102
ANCHORAGE, AK
ZIP 99503
Phone: (907) 729-8558
NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Apr 10, 2026, Aug 13, 2024 (2 updates tracked since 2024).
- Individual
- Female
- Community Health Worker
- Accepts Insurance
- PECOS Enrolled
About ANTOINETTE SULLIVAN
This page provides the complete NPI Profile along with additional information for Antoinette Sullivan, a provider established in Anchorage, Alaska with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1427889021 assigned on August 2024. The practitioner's primary taxonomy code is 172V00000X with license number 213488 (AK). The provider is registered as an individual and her NPI record was last updated April 2026.
- NPI
- 1427889021
- Provider Name
- ANTOINETTE GRACE SULLIVAN LMSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3000 C ST STE 102 ANCHORAGE, AK 99503
- Location Phone
- (907) 729-8558
- Mailing Address
- 7033 E TUDOR RD ANCHORAGE, AK 99507
- Mailing Phone
- (907) 729-6801
- Mailing Fax
- (907) 729-5180
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-13-2024
- Last Update Date
- 04-10-2026
- Code Navigator
Location Map
Secondary Locations
- 3831 Piper St Ste S220
Anchorage, AK 99508
(907) 212-2321
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Health Worker
- Taxonomy Code
- 172V00000X
- Type
- Other Service Providers
- License No.
- 213488
- License State
- AK
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | 213488 (AK) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Antoinette Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for ANTOINETTE GRACE SULLIVAN LMSW
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1427889021, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427889021, enumerated as an "individual" on August 13, 2024.
The provider is located at 3000 C ST STE 102 ANCHORAGE, AK 99503 and the phone number is (907) 729-8558.
Community Health Worker with taxonomy code 172V00000X.
The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
