TANDREA GRAHAM (NPI# 1740889872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740889872 |
| Entity Type | Individual |
| Full Name | TANDREA GRAHAM |
| Credential | MSW |
| Practice Address |
628 Old Wagner Rd Petersburg VA 23805-9319 |
| Mailing Address |
3550 Westbriar Ln North Dinwiddie VA 23803-8422 |
| Practice Telephone | 8046056146 |
| Mailing Telephone | 8046056146 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | 3442 | VA | Other Service Providers |
| Street Address |
628 OLD WAGNER RD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| 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 |
|---|---|---|---|---|
| 1245831403 | Julia Patrice Watkins | Community Health Worker | 254 W Bay Ave # F112, Norfolk, VA 23503-4564 | 2020-11-04 |
| 1306486683 | Brandi Mercedes Pryor | Community Health Worker | 1870 Lambs Rd, Charlottesville, VA 22901-8975 | 2020-01-14 |
| 1518502822 | Charles Augustus Logan Jr. | Community Health Worker | 625 Piney Forest Rd Ste 307b, Danville, VA 24540-2869 | 2019-11-11 |
| 1225671894 | Erica Blackwell | Community Health Worker | 3015 Grantwood Rd, Richmond, VA 23225-1535 | 2019-10-25 |
| 1467093732 | Virginia Aba LLC | Community Health Worker | 1201 Old Francis Rd, Glen Allen, VA 23059-4504 | 2019-10-08 |
| 1669024576 | Katina L Gilliam | Community Health Worker | 1800 Carneal St, Richmond, VA 23223-2412 | 2019-07-10 |
| 1013577287 | Danny Thompson Sr. | Community Health Worker | 9100 Arboretum Pkwy Ste 180, North Chesterfield, VA 23236-3491 | 2019-06-19 |
| 1972098887 | Shervon Tanyer Dubique | Community Health Worker | 3630 S Plaza Trl Ste 210j, Virginia Beach, VA 23452-3366 | 2018-06-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1821596156 | Tikia Nicole Johnson | Community Health Worker | 2705 Park Center Dr, Alexandria, VA 22302-1418 | 2018-02-01 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.