JORDAN TYLER LAKES (NPI# 1962856104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962856104 |
Entity Type | Individual |
Full Name | JORDAN TYLER LAKES |
Credential | MSOT |
Practice Address |
9190 Priority Way West Dr Indianapolis IN 46240-6426 |
Practice Telephone | 3178054963 |
Mailing Telephone | 3178054963 |
Enumeration Date | 2016-04-13 |
Last Update Date | 2016-04-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172V00000X | Community Health Worker | 31006064A | IN | Other Service Providers |
Street Address |
9190 PRIORITY WAY WEST DR |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46240-6426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
Find all providers in zip 46240 |
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 |
---|---|---|---|---|
1043864994 | Ray Charles Lay | Community Health Worker | 3414 Lauren Dr, Indianapolis, IN 46235-7210 | 2019-07-30 |
1861044018 | Charise Downs | Community Health Worker | 10026 E 21st St Ste 21, Indianapolis, IN 46229-1802 | 2019-07-09 |
1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
1710471503 | Alicia Stout | Community Health Worker | 5445 W Southport Rd, Indianapolis, IN 46221-9699 | 2018-06-15 |
1184071235 | Deann Beretta Day | Community Health Worker | 6448 Park Central Way Apt D, Indianapolis, IN 46260-4525 | 2016-05-18 |
1699146753 | Linda Denise Smeltzer | Community Health Worker | 3235 N Alton Ave, Apt.c, Indianapolis, IN 46222-2052 | 2015-10-15 |
1851775092 | Paula Pape | Community Health Worker | 7726 Bancaster Dr, Indianapolis, IN 46268-5710 | 2015-07-17 |
1275939191 | Beverly Averitte | Community Health Worker | 2477 Bond St, Indianapolis, IN 46208-5355 | 2014-11-05 |
1053715284 | Scott Broadnax | Community Health Worker | 8063 Madison Ave # 246, Indianapolis, IN 46227-6001 | 2014-10-17 |
1760881262 | Nichelle Miles | Community Health Worker | 8645 Lighthorse Dr, Indianapolis, IN 46231-2523 | 2014-08-20 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46240 |
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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.