Augustine Nelson, CHW/COMMUNITY HEALTH

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

24281 Stewart Ave
Warren, MI 48089-5731

Phone

(313) 448-9850

NPI assigned

Jan 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Augustine Nelson Professional name

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1114798519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24281 STEWART AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480895731",
            "telephone_number": "313-448-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AUGUSTINE",
        "name_prefix": "Mrs.",
        "credential": "CHW/COMMUNITY HEALTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUGUSTINE",
            "last_name": "NELSON",
            "prefix": "MRS.",
            "credential": "CERTIFIED NURSE ASST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Nawrocki
• Quanita Neely
• Peter M Nefcy, M.D., PHD
• Ethan Robert Neff
• Jazzanaya Alexis Negron, CBD
• Dajanique Nelson
• Joseph Nelson
• Thomas Allan Nelson, D.O.
• Charlotte Anne Neme, MSW
• Nesa Home Care LLC

• Community Health Worker in Warren, MI
• Providers in Warren, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.