MARY KOCZYK (NPI# 1710599022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710599022 |
| Entity Type | Individual |
| Full Name | MARY KOCZYK |
| Credential | CBRS |
| Practice Address |
2201 N Ironwood Pl Coeur D Alene ID 83814-2670 |
| Mailing Address |
Po Box 1387 Hayden ID 83835-1387 |
| Practice Telephone | 2087694222 |
| Practice Fax Number | 8448037399 |
| Mailing Telephone | 2084150299 |
| Mailing Fax Number | 2086252070 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | DRIVERS LICENSE | CD2576341 | 01 |
| Street Address |
2201 N IRONWOOD PL |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190233 | Candance Day | Community Health Worker | 2201 N Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1154947950 | Jackie Lyn Kayne-sherar | Community Health Worker | 2025 W Park Pl Ste B, Coeur D Alene, ID 83814-2787 | 2020-06-18 |
| 1124662861 | Tracy A Bauhs | Community Health Worker | 2201 N Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-11-06 |
| 1194367821 | Betty E Maxwell | Community Health Worker | 2205 N Ironwood Pl Ste A, Coeur D Alene, ID 83814-2487 | 2019-10-15 |
| 1770190233 | Candance Day | Community Health Worker | 2201 N Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2020-09-29 |
| 1275141236 | Chase Kiyoshi Yamamoto | Community Health Worker | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2020-07-16 |
| 1043837016 | Madison Marie Floyd | Community Health Worker | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2020-06-25 |
| 1598399289 | Kelly Sue Hopkins | Community Health Worker | 2201 N Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2020-03-03 |
| 1629628284 | Brooke T Rushton | Community Health Worker | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-09-16 |
| 1073091864 | Sally Jo Fischer | Community Health Worker | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-08-02 |
| 1851648059 | Joshua M Behrens | Community Health Worker | 2201 Ironwood Pl, Coeur D Alene, ID 83814 | 2012-08-07 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.