Grassroots Empowerment Project Inc

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

GRASSROOTS EMPOWERMENT PROJECT INC

Practice address

3732 W Wisconsin Ave
Milwaukee, WI 53208

Phone

(414) 344-0447

Fax

(414) 344-0450

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Molly Cisco

Title

Executive Director

Phone

(608) 206-5094

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1144588922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8683",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537088683",
            "telephone_number": "800-770-0588",
            "fax_number": "800-770-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53208",
            "telephone_number": "414-344-0447",
            "fax_number": "414-344-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASSROOTS EMPOWERMENT PROJECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "CISCO",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-206-5094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ahern Grant
• Sabrina Grant, M.S. ED.
• Jane F. Grantham, RN
• Peter John Graskamp, PHD
• Allison Grassel
• Grateful Girls
• Grateful Living Inc.
• Zachary Michael Gratz
• Ann F Grauer, IBCLC
• Nicholas Edward Graunke, PA-C

• Community Health Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community Health Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.