MIRABELLE MADELEINE BLOSSOM
NPI 1760277800
Community Health Worker in Fairbanks, AK

Active since April 10, 2025
3101 LATHROP ST, FAIRBANKS, AK 99701(907) 459-4700(907) 474-3621 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mirabelle Madeleine Blossom NPPES

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

MIRABELLE MADELEINE BLOSSOM (NPI 1760277800) is an individual community health worker in Fairbanks, Alaska and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1760277800
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameMIRABELLE MADELEINE BLOSSOM
Location Address3101 LATHROP STFairbanks, AK 99701-7426
Mailing Address3101 Lathrop StFairbanks, AK 99701-7426 · (907) 459-4700 · Fax (907) 474-3621
Fax(907) 474-3621
Sole ProprietorYes
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
NPI 1760277800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
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.
3101 LATHROP ST, Fairbanks, AK 99701

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
3101 LATHROP ST
FAIRBANKS, AK 99701
Counselor (Mental Health)
3101 LATHROP ST
FAIRBANKS, AK 99701
Community Health Worker
3101 LATHROP ST
FAIRBANKS, AK 99701
Behavior Technician
3101 LATHROP ST
FAIRBANKS, AK 99701
Behavior Technician
3101 LATHROP ST
FAIRBANKS, AK 99701
Behavior Technician
3101 LATHROP ST
FAIRBANKS, AK 99701
Counselor (Mental Health)
3101 LATHROP ST
FAIRBANKS, AK 99701
Community Health Worker
3101 LATHROP ST
FAIRBANKS, AK 99701

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 Mirabelle Blossom's NPI number?

The NPI number for Mirabelle Blossom is 1760277800. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Mirabelle Blossom located?

Mirabelle Blossom practices at 3101 Lathrop St, Fairbanks, AK 99701. The listed phone number is (907) 459-4700.

What is Mirabelle Blossom'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 Mirabelle Blossom was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.