DIVERSITY TELEHEALTH, LLC (NPI# 1194345561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194345561 |
| Entity Type | Organization |
| Organization Name | DIVERSITY TELEHEALTH, LLC |
| Practice Address |
1601 East 18th Street 320a Kansas City MO 64108 |
| Practice Telephone | 9137103818 |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |
| Authorized Official Name | DR. SHELLEY COOPER (CEO) |
| Authorized Official Telephone | 9137103818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIVERSITY TELEHEALTH, LLC | 1601 E 18th St Ste 320 A, Kansas City, MO 64108-1662 |
| Street Address |
1601 EAST 18TH STREET 320A |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| 1104347277 | Blake William Baumann | Pharmacist | 2301 Homes St, Kansas City, MO 64108 | 2017-06-29 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649513698 | Leslie Michelle Page | Health Educator | 1122 Queens Pl, Kansas City, MO 64131-3264 | 2013-03-28 |
| 1407460058 | Eric Bowles | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1619588373 | Kacie E Cass | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-14 |
| 1306456785 | Ryan Neil Allenbrand | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-31 |
| 1831708460 | Kaitlyn Marie Ruether | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-29 |
| 1467061093 | Anita Cristine Didonna | Health Educator | 2401 Gillham Road, Section of Toxicology and Environmental Health, Kansas City, MO 64108 | 2020-07-29 |
| 1063079267 | Lillian Saavedra | Health Educator | 4125 Rainbow Blvd Ste 100, Kansas City, KS 66160-8502 | 2019-05-22 |
| 1467919977 | Hunter Marlene Johnson | Health Educator | 3100 Broadway Blvd, Kansas City, MO 64111-2658 | 2019-02-21 |
| 1285190736 | Rubi Lopez Sanchez | Health Educator | 3100 Broadway Blvd, Kansas City, MO 64111-2658 | 2019-02-20 |
| 1245785229 | Young Men's Christian Association of Greater Kansas City | Health Educator | 3100 Broadway, Suite 1020, Kansas City, MO 64111-2413 | 2016-08-19 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
Please comment or provide details below to improve the information on DIVERSITY TELEHEALTH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.