MISS NICHOLE MARIE BURRIS (NPI# 1710140553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710140553 |
| Entity Type | Individual |
| Full Name | MISS NICHOLE MARIE BURRIS |
| Practice Address |
237 26th St Ogden UT 84401-3105 |
| Practice Telephone | 8016253700 |
| Mailing Telephone | 8016253700 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | UT | Student, Health Care | |
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 876000308007 | 05 | |
| UT | RAILROAD MEDICARE | 260022408 | 01 |
| Street Address |
237 26TH ST |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004209 | Teresa Ramos | Nurse Practitioner | 237 26th St, Ogden, UT 84401-3105 | 2005-06-22 |
| 1114525458 | Allsion Cooper | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-10-09 |
| 1164035226 | Brinley Roubinet | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2020-08-28 |
| 1679186647 | Salena Echevarria | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-08-28 |
| 1780296798 | Donna Lori King | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-08-20 |
| 1225649338 | Lori Ludlow | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-12 |
| 1336750538 | Christy Rundio | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-11 |
| 1083225288 | Tommi King | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-11 |
| 1396355087 | Weber Human Services | Family Medicine | 237 26th St, Ogden, UT 84401-3105 | 2020-08-06 |
| 1902424252 | Madison Jarvis | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| 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 |
|---|---|---|---|---|
| 1043786767 | Kati Krei I | Community Health Worker | 4515 Harrison Blvd Apt 27, Ogden, UT 84403-3193 | 2018-10-19 |
| 1164035226 | Brinley Roubinet | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2020-08-28 |
| 1922667971 | Jaime Garcia | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2019-06-12 |
| 1689237927 | Mckenlee Davis | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2019-04-22 |
| 1750844379 | Anabell Nunez | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2019-04-10 |
| 1902365562 | Tonya England | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2019-03-13 |
| 1548733777 | Nicole Gerrard | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2019-01-10 |
| 1013480557 | Julie Flinders | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2019-01-08 |
| 1255814570 | Makayla Ann Wilson | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2018-09-12 |
| 1215410535 | Amanda Lee Garza | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2018-09-12 |
| Find all providers in OGDEN | ||||
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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.