MR. EVAN THOMAS FAIRBANKS


Address: 4 Blaisdell St, Haverhill, MA 01832-5425
Phone: 9789947423

MR. EVAN THOMAS FAIRBANKS (NPI# 1679880504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679880504
Entity Type Individual
Full Name MR. EVAN THOMAS FAIRBANKS
Practice Address 4 Blaisdell St
Haverhill
MA 01832-5425
Mailing Address 4 Blaisdell Street
Haverhill
MA 01832-5425
Practice Telephone 9789947423
Mailing Telephone 9789947423
Enumeration Date 2010-09-14
Last Update Date 2010-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker Other Service Providers

Office Location

Street Address 4 BLAISDELL ST
City HAVERHILL
State MA
Zip Code 01832-5425

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154887503 Emely D Valenzuela Toribio Behavioral Analyst 116 Klondike Ave Apt 104, Lawrence, Haverhill, MA 01832 2019-02-11
1184194821 Janet De Leon Social Worker 78 Perkins Ct, Haverhill, MA 01832 2018-11-26
1073005765 Krista Boucher Behavioral Analyst 62 Wingate St Apt 3b, Haverhill, MA 01832 2018-05-30
1619354172 Hearts To Home Home Health 72 Broadway #1, Haverhill, MA 01832 2015-05-04
1316238363 Shaine Anthony Alvaranga Counselor 25 Victor St, Apt 1, Haverhill, MA 01832 2011-04-26
1851487979 Stacey Bogue Foster Social Worker 266 Waverly Road, North Andover, MA 01832 2006-10-05
1023587763 Kim Phan Pharmacist 425 Lowell Ave, Haverhill, MA 01832 2018-11-23
1164896015 Amy Burkland Counselor 230 Liberty St, Haverhill, MA 01832-1034 2015-11-16
1669919098 Tyler Woelfel Specialist/Technologist 7 White Oak Cir, Haverhill, MA 01832-1075 2017-01-24
1831229541 Susan Margaret Lawlor Registered Nurse 6 Danielle Dr, Haverhill, MA 01832-1130 2007-03-06
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy 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.
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/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548727894 Sheryl Caruso Community Health Worker 26 Parkridge Rd, Haverhill, MA 01835-8514 2019-02-22
1396013900 Melissa Kendra Schott Community Health Worker 60 Merrimack St, Haverhill, MA 01830-6207 2011-12-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154929263 Taylor Marston Community Health Worker 56 Cherry St # 3, Brockton, MA 02301-2608 2020-10-12
1538775309 Edward Earl Anderson Jr. Community Health Worker 64 Poydras St, Hyde Park, MA 02136-6419 2020-09-17
1861008682 Kathryn Mary Carbone Community Health Worker 131 Norfolk St, Quincy, MA 02170-1227 2020-09-17
1801428305 Alison Tully Community Health Worker 81 Morton St Apt 3, Fall River, MA 02720-2891 2020-02-12
1225678444 Katelin Riley Community Health Worker 79 Taunton St, Bellingham, MA 02019-1470 2020-01-15
1528619392 Felecia Marie Burns-yanis Community Health Worker 4 Church St Apt 5, Oxford, MA 01540-1956 2019-09-24
1902450406 Passport Health Holdings, LLC Community Health Worker 345 Boylston Street Floor 2, Suite 202, Newton, MA 02459-2863 2019-08-01
1417514142 Colleen Ann Burke Community Health Worker 26 Ellsworth St, Athol, MA 01331-2013 2019-05-29
1104384569 Erica Jean Last Community Health Worker 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 2019-03-05
1477025088 Teresa M Valerio Community Health Worker East Cambridge Health Center, 163 Gore St, Cambridge, MA 02141 2018-12-20
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Competitor

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City HAVERHILL
Zip Code 01832

Improve Information

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Dataset Information

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.

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