Kelsey Marie Mixon
Individual provider Active NPI Community Health Worker · Lake Isabella, CA
NPI 1144095563 · NPPES record last updated Dec 8, 2023
Key facts
- NPI
- 1144095563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2731 Nugget Ave
Lake Isabella, CA 93240-9456 - Phone
- (760) 379-3412
- NPI assigned
- Nov 15, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
2731 Nugget Ave
Lake Isabella, CA 93240-9456
Mailing address
2731 Nugget Ave
Lake Isabella, CA 93240-9456
Other providers in Lake Isabella, CA
- Rochelle Votaw Mendia
- Heather Alldredge Menzel
- Julissa Meza
- Christopher Alan Mills
- Sharon Kay Minds
- Samantha Ann Mongar
- Faith Lucille Morrison
- Debra Moseley
- Jack Sanford Nadler
- Nicholas Anthony Nardone
All providers in Lake Isabella, CA · Community Health Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2023. 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.