MR. MASON GRANDVILLE SMITH (NPI# 1689209801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689209801 |
| Entity Type | Individual |
| Full Name | MR. MASON GRANDVILLE SMITH |
| Practice Address |
3111 Electric Ave Port Huron MI 48060-8127 |
| Practice Telephone | 8109663566 |
| Mailing Telephone | 8109663566 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829409 | Mason Smith | Social Worker | 42244 Landing View Rd, Ponchatoula, LA 70454-4233 | 2020-10-19 |
| 1376107896 | Mason Smith | Case Manager/Care Coordinator | 2506 Falcon Ln, Mcalester, OK 74501-7324 | 2019-04-30 |
| 1578938288 | Mason James Smith | Occupational Therapy Assistant | 15139 Cr 2620, Binger, OK 73009-0041 | 2015-12-07 |
| 1740605013 | Mason Smith | Specialist/Technologist | 1928 E Hickory Point Cir, Sandy, UT 84092-3942 | 2014-02-24 |
| 1811507627 | Mason Smith | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2020-08-06 |
| 1770890519 | Mason Ross Smith | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2010-08-31 |
| 1588662506 | Mason Williams Smith | Pharmacist | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2005-07-13 |
| Street Address |
3111 ELECTRIC AVE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497791313 | Genoa Healthcare, LLC | Pharmacy | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2006-06-20 |
| 1770184202 | Camilla Smith | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-11-02 |
| 1992312425 | Ashley Renock | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-09-29 |
| 1720695240 | Danielle Marie Mitchell | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-09-29 |
| 1417565995 | Keith R Gilbert | Peer Specialist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-07-21 |
| 1710504998 | Caitlin Griswold | Peer Specialist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-07-03 |
| 1508482951 | Elisa Dooley | Registered Nurse | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-22 |
| 1811513690 | Skye L Paling | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-17 |
| 1457976102 | Kathryn Shaw | Technician, Pathology | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-09 |
| 1518593003 | Joy Daggett | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| 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 |
|---|---|---|---|---|
| 1790156859 | Laticia Hernandez | Community Health Worker | 3139 Electric Ave Apt 3, Port Huron, MI 48060-8103 | 2015-10-15 |
| 1578193595 | Audrey Jane Bell | Community Health Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-01-17 |
| 1124670351 | Luisa Marie Sanchez | Community Health Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-07-09 |
| 1164977542 | Brandon Martindale | Community Health Worker | 3111 Electric Ave, Port Huron, MI 48060-7833 | 2016-08-16 |
| 1477908457 | Jon Strauchman | Community Health Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2016-04-27 |
| 1023488764 | Mike Moretz | Community Health Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2015-10-06 |
| 1336546886 | Brittney Thomas | Community Health Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2014-11-28 |
| 1871994897 | Tom Kingsbury | Community Health Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2014-09-09 |
| 1841609831 | Lloyd Anderson | Community Health Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2014-08-05 |
| 1740606599 | Erika Richards | Community Health Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2014-03-17 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
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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.