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

Shantavia Mitchell

Individual provider Community Health Worker · NPI 1104717453

Shantavia Mitchell is a Community Health Worker in Fairbanks, Alaska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

209 Forty Mile Ave
Fairbanks, AK 99701-3110
Phone: (907) 456-6445
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1104717453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Other providers in Fairbanks