Misty D Collier
Individual provider Active NPI Community Health Worker · Jackson, OH
NPI 1053905596 · NPPES record last updated Feb 25, 2021
Key facts
- NPI
- 1053905596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 151 E Main St
Jackson, OH 45640-1742 - Phone
- (740) 577-3033
- NPI assigned
- Feb 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Services for Behavioral Health | Current |
Accepting new patients |
Locations
151 E Main St
Jackson, OH 45640
Phone (740) 286-1888
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/isaoh/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
151 E Main St
Jackson, OH 45640-1742
Mailing address
PO Box 132
Athens, OH 45701-0132
Phone (740) 644-9872
Other providers in Jackson, OH
- Mark G. Christopher
- Jerimy Clonch
- Tracie Renee Clutter
- John Michael Colbert
- Yvonne Coleman
- Desiree Nicole Collins
- Jessica Sue Collins
- Amy Gail Combs
- Community Action Committee of Pike County
- Community Action Committee of Pike County
All providers in Jackson, OH · Community Health Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.