Midori-Jade Blakey
Individual provider Active NPI Community Health Worker · San Francisco, CA
NPI 1164201489 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1164201489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2157 Grove St
San Francisco, CA 94117-1008 - Phone
- (954) 655-9028
- NPI assigned
- Sep 26, 2023
- 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
2157 Grove St
San Francisco, CA 94117-1008
Mailing address
2157 Grove St
San Francisco, CA 94117-1008
Other providers in San Francisco, CA
- Richard Lawrence Blake
- Collin Blakely
- Jacqueline Blakely
- Lisa J Blakely
- Brendan Blakewell
- Jessica Blalock
- Paul D Blanc
- Janette Blancaluz-Hansen
- Oscar Blancas
- Brittany Blanche
All providers in San Francisco, 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 Sep 26, 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.