DETRIC D JOHNSON (NPI# 1568958890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568958890 |
| Entity Type | Individual |
| Full Name | DETRIC D JOHNSON |
| Practice Address |
535 Wyoming Ave Ste 1 Buffalo NY 14215-3137 |
| Practice Telephone | 7162531847 |
| Practice Fax Number | 7168453511 |
| Mailing Telephone | 7162531847 |
| Mailing Fax Number | 7168453511 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | NY | Other Service Providers |
| Street Address |
535 WYOMING AVE STE 1 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14215-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| 1093336646 | Sanjeevani Tomar | Student in an Organized Health Care Education/Training Program | University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 | 2020-05-05 |
| 1982225926 | Rohan Pandey | Student in an Organized Health Care Education/Training Program | 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 | 2020-04-30 |
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1780204883 | Ishwor Sharma | Student in an Organized Health Care Education/Training Program | Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 | 2020-04-20 |
| 1174142632 | Salman Masood | Student in an Organized Health Care Education/Training Program | 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 | 2020-04-14 |
| 1730718354 | Charles Feng Hua Zhang | Student in an Organized Health Care Education/Training Program | Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 | 2020-04-06 |
| 1700415650 | Joseph Charles L'huillier | Student in an Organized Health Care Education/Training Program | General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 | 2020-04-03 |
| Find all providers in zip 14215 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| 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. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134602204 | Jason Moore | Community Health Worker | 431 William St, Buffalo, NY 14204-1819 | 2018-09-13 |
| 1417403734 | Nathaniel Joseph Draffin | Community Health Worker | 140 Olympic Ave, Buffalo, NY 14215-3230 | 2016-08-28 |
| 1205225695 | Yvonne Sewell | Community Health Worker | 69 Delaware Ave Rm 1200, Buffalo, NY 14202-3805 | 2015-01-22 |
| 1437307972 | Dawn Marie Wrona | Community Health Worker | 498 Traverse Blvd, Buffalo, NY 14223-1131 | 2008-09-08 |
| 1750947099 | Colin Andrew Lewis | Community Health Worker | 70 Jewett Pkwy, Buffalo, NY 14214-2391 | 2019-05-13 |
| 1194261297 | Alexandra Gobell | Community Health Worker | 25 1st Ave Ne, Suite 100, Buffalo, MN 55313 | 2017-01-12 |
| 1720522055 | Deborah Jean Harris | Community Health Worker | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202-3812 | 2016-12-06 |
| 1750832820 | Iris Kirkwood | Community Health Worker | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202-3812 | 2016-10-24 |
| 1396294856 | Judy Ali | Community Health Worker | 69 Delaware Ave, Buffalo, NY 14202-3812 | 2016-09-26 |
| 1124572177 | Misty D Jones | Community Health Worker | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202-3812 | 2016-08-08 |
| Find all providers in BUFFALO | ||||
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| 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.