NICOLE BOUGHTON (NPI# 1902362817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902362817 |
| Entity Type | Individual |
| Full Name | NICOLE BOUGHTON |
| Practice Address |
2180 Johnson Ave San Luis Obispo CA 93401-4558 |
| Mailing Address |
2348 Johnson Ave San Luis Obispo CA 93401-4539 |
| Practice Telephone | 8057814275 |
| Practice Fax Number | 8057814297 |
| Mailing Telephone | 8057482239 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
2180 JOHNSON AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366463879 | Robert D Henretig | Radiology | 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401-4513 | 2006-07-21 |
| 1043819352 | Douglas Gregory Elterman | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-10-19 |
| 1265045439 | Mai Timberlake | Student in an Organized Health Care Education/Training Program | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-27 |
| 1427669787 | Christie Terese Castro | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-11 |
| 1538792452 | Robyn Michelle Taylor | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-19 |
| 1003448754 | Jene Nicole Hinton-railsback | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-11 |
| 1962046359 | Emilie M Crist | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-29 |
| 1841833027 | Melanie Ruth Vann | Social Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-21 |
| 1548802622 | Christina Lynn Rivera | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-10 |
| 1265087035 | Amber Deem | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1063903052 | Joseph Salazar | Community Health Worker | 2180 Johnson Ave Rm 123, San Luis Obispo, CA 93401-4558 | 2018-05-24 |
| 1598024663 | Sherri Lynn Kimbell | Community Health Worker | 1411 Marsh St Ste 103, San Luis Obispo, CA 93401-2908 | 2012-05-10 |
| 1205071933 | Stephen Joseph Pittelli | Community Health Worker | California Mens Colony Mental Health Dept, Highway 1, San Luis Obispo, CA 93409-0001 | 2008-12-09 |
| 1366070609 | Nycole Ann Berkeley | Community Health Worker | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-03-31 |
| 1538792452 | Robyn Michelle Taylor | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-19 |
| 1265087035 | Amber Deem | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-08-07 |
| 1841843836 | Maureen Denise Nettles | Community Health Worker | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2019-07-19 |
| 1497313886 | David Michael Apodaca | Community Health Worker | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2019-05-31 |
| 1972075620 | Julia Thompson | Community Health Worker | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2018-12-19 |
| 1124519004 | Adrian Lindsey | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2018-05-25 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.