Mariama Ba
Individual provider Active NPI Community Health Worker · Randolph, MA
NPI 1144716259 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1144716259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 44 Diauto Dr
Randolph, MA 02368-4536 - Phone
- (781) 885-7252
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
44 Diauto Dr
Randolph, MA 02368-4536
Mailing address
44 Diauto Dr
Randolph, MA 02368-4536
Phone (781) 885-7252
Other providers in Randolph, MA
- Olusola Awodu
- Briana Ayala
- Pascale Azor
- Chidiebere Azuaru
- Chester Ryan Ramirez Azurin
- Molly Babin
- Rachel Bacos
- Reginald Badeau
- Kadiatou Djindji Bah
- Armen Balabanyan
All providers in Randolph, MA · Community Health Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. 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.