Tommie Keith Hall II

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

727 18TH St
Modesto, CA 95354-1210

Phone

(209) 569-0373

NPI assigned

May 12, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1003606914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 18TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 18TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541210",
            "telephone_number": "209-569-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TOMMIE",
        "middle_name": "KEITH",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janitha Hall
• Judy Garland Hall
• Ryann June Hall
• Thomas Arnold Hall, PH.D.
• Thomas Lathrop Hall, MD
• Malissa Hallahan
• Amayah Tiann Hallam
• Nathan Hallam, PA
• Sarah Hallberg, PTA
• Amy Michelle Halley, MPT

• Community Health Worker in Modesto, CA
• Providers in Modesto, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.