Individual provider Active NPI

Tonika Norchelle Washington, COMMUNITY HEALTH WOR

  • Community Health Worker
  • Houston, TX
National Provider Identifier
1124800321
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
13457 Issued in TX
Practice address
1503 Roanwood Dr
Houston, TX 77090-2421
Phone
(832) 216-5995
NPI assigned
Oct 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Community Health Worker 172V00000X 13457 TX Primary

Addresses

Primary practice location

1503 Roanwood Dr
Houston, TX 77090-2421

Mailing address

1038 Casting Springs Way
Spring, TX 77373-7962
Phone (832) 216-5995

Other names 1

  • Tonika Norchelle Washington Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13457TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rise Community Health Worker CurrentSince Sep 23, 2024 Accepting new patients
Phoenix Rises Healthcare Inc PastSince Sep 23, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1124800321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 CASTING SPRINGS WAY",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737962",
            "telephone_number": "832-216-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 ROANWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902421",
            "telephone_number": "832-216-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "TONIKA",
        "middle_name": "NORCHELLE",
        "name_prefix": "Mrs.",
        "credential": "COMMUNITY HEALTH WOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "13457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONIKA",
            "last_name": "WASHINGTON",
            "middle_name": "NORCHELLE",
            "credential": "COMMUNITY HEALTH WOR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.