Individual provider Active NPI

Stephen Lard, CHW

  • Community Health Worker
  • Grants Pass, OR
National Provider Identifier
1134968753
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
THW000110353 Issued in OR
Practice address
1060 NE Savage St
Grants Pass, OR 97526-1347
Phone
(541) 761-0384
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X THW000110353 OR Primary

Addresses

Primary practice location

1060 NE Savage St
Grants Pass, OR 97526-1347

Mailing address

1060 NE Savage St
Grants Pass, OR 97526-1347
Phone (541) 761-0384

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
THW000110353ORMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1134968753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 NE SAVAGE ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261347",
            "telephone_number": "541-761-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 NE SAVAGE ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261347",
            "telephone_number": "541-761-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARD",
        "first_name": "STEPHEN",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "THW000110353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.