DIANE BAKKE TENNANT


Address: 60 Central Ave, Cortland, NY 13045-2795
Phone: 6077563401

DIANE BAKKE TENNANT (NPI# 1679892624) 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) 1679892624
Entity Type Individual
Full Name DIANE BAKKE TENNANT
Other Name DIANE FLORENCE BAKKE
Credential PT
Practice Address 60 Central Ave
Cortland
NY 13045-2795
Mailing Address 3739 Lyncourt Drive
Cortland
NY 13045
Practice Telephone 6077563401
Mailing Telephone 6077562479
Enumeration Date 2010-05-28
Last Update Date 2010-05-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker 62002602 NY Other Service Providers

Office Location

Street Address 60 CENTRAL AVE
City CORTLAND
State NY
Zip Code 13045-2795

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760480891 Cortland County Home Health 60 Central Ave, Cortland, NY 13045-2795 2005-07-12
1144786690 Allyson Ra Freelove Registered Nurse 60 Central Ave, Cortland, NY 13045-2795 2019-02-20
1558876870 Michaela Marie Eccleston Case Manager/Care Coordinator 60 Central Ave, Cortland, NY 13045-2795 2017-12-08
1275052680 Laura Pforter Specialist 60 Central Ave, Cortland, NY 13045-2795 2017-09-18
1033516224 Maria Derado Developmental Therapist 60 Central Ave, Cortland, NY 13045-2795 2014-12-03
1851793111 Cortland County Area Agency On Aging Public Health or Welfare 60 Central Ave, Cortland, NY 13045-2795 2014-09-18
1669891404 Cortland County Health Department Public Health or Welfare 60 Central Ave, Cortland, NY 13045-2795 2014-04-09
1164855961 Vincenza Ann Wahlrab Developmental Therapist 60 Central Ave, Cortland, NY 13045-2795 2013-08-15
1811339328 Terrie L Atwood Case Manager/Care Coordinator 60 Central Ave, Cortland, NY 13045-2795 2013-07-25
1235571845 Amber Lawrence Registered Nurse 60 Central Ave, Cortland, NY 13045-2795 2013-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336783521 Richie Wells Jr. Student in an Organized Health Care Education/Training Program Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 2019-10-31
1518509504 Paige Morrow Occupational Therapist 1710 Ny-13, Cortland, NY 13045 2019-10-11
1154972453 Ayla Fialko Acupuncturist 17-29 Main Street, Suite Ll13, Cortland, NY 13045 2019-09-27
1043714330 Denise Lynn Bushnell-lhommedieu Licensed Practical Nurse 11 Owego Street, Cortland, NY 13045 2018-03-21
1659817864 Sarah Schmied Registered Nurse Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 2017-01-11
1457895278 Mohammad Djafari Md Physician Assistant 15-17 Kennedy Parkway, Cortland, NY 13045 2016-12-13
1295125060 Laura K May Counselor 17 Main St., Cortland, NY 13045 2015-01-30
1295081149 Sirgany Eyecare LLC Eyewear Supplier (Equipment, not the service) 992 State Rte 13, Cortland, NY 13045 2012-07-30
1205106879 Mary Marcella Ray Licensed Practical Nurse 84 Greenbush St., Cortland, NY 13045 2012-01-12
1326318494 Kimberly Rowland Registered Nurse 2824 Page Green Rd, Cortland, NY 13045 2012-01-06
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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
1467749796 Margaret Crane Vormwald Community Health Worker 1710 Route 13, Cortland, NY 13045-9617 2011-07-07
1568779650 Sirisha Mandadi Community Health Worker 60 Central Ave, Cortland, NY 13045-2795 2010-09-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295334480 Djurabek Ismatov Community Health Worker 1122 Coney Island Ave Ste A, Brooklyn, NY 11230-2345 2020-10-20
1891306791 African Services Committee, Inc. Community Health Worker 429 W 127th St, New York, NY 10027-2544 2020-08-13
1275143679 Ingrid Ventura Community Health Worker 1382 Shakespeare Ave Apt 5c, Bronx, NY 10452-1878 2020-07-31
1851917108 Alize Cooper Community Health Worker 115 E Stevens Ave Ste Ll5, Valhalla, NY 10595-1286 2020-06-23
1083246961 Romina Zitofsky Community Health Worker 65 Pacific Blvd, Long Beach, NY 11561 2020-02-07
1609407865 Tia Mitchell Community Health Worker 203 W 140th St Apt 1a, New York, NY 10030-3499 2020-01-27
1932741584 Joshua Billica Community Health Worker 1803 Fix Rd, Grand Island, NY 14072-2835 2019-10-16
1336780139 Michalina Bowden Community Health Worker 6337 Forest Ave Apt 3r, Ridgewood, NY 11385-2051 2019-10-02
1184274540 Brittany Irby Community Health Worker 189 Eldridge Street, New York, NY 10002 2019-09-18
1407405426 Sadie Marie Kinner Community Health Worker 5 Buell Rd, Windsor, NY 13865-2321 2019-09-11
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Competitor

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City CORTLAND
Zip Code 13045

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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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