Jeweliane N Deaver
Individual provider Active NPI Community Health Worker · Greeley, CO
NPI 1154883460 · NPPES record last updated Apr 4, 2019
Key facts
- NPI
- 1154883460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1300 N 17TH Ave
Greeley, CO 80631-9584 - Phone
- (970) 347-2120
- NPI assigned
- Apr 4, 2019
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1300 N 17TH Ave
Greeley, CO 80631-9584
Mailing address
1300 N 17TH Ave
Greeley, CO 80631-9584
Other providers in Greeley, CO
- Nancy De la Cruz Pitones
- Lizeth Verenice De la Cruz
- Martha E De la Mora
- Cynthia M Dean
- Maryann Estell Dean
- Akili Decamp
- Cody Michael-Ty Deck
- Molly E Decker
- Lesley Thomas Deen
- Defined Dental & Dermal Spa PLLC
All providers in Greeley, CO · Community Health Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2019. 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.