Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khadijah Johnson

Individual provider Community Health Worker · NPI 1063380590

Khadijah Johnson is a Community Health Worker in Fairbanks, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2025

Practice location Address checks out

3101 Lathrop St
Fairbanks, AK 99701-7426
Phone: (907) 474-0890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (AK)

Record details

NPI number1063380590
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

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