Individual provider Active NPI

Esther K Dakwa

  • Community Health Worker
  • Bloomington, IN
National Provider Identifier
1164610358
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
0130-64-9918 Issued in IN
Practice address
3789 S Cramer Cir
Bloomington, IN 47403-8845
Phone
(812) 219-4172
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 0130-64-9918 IN Primary

Addresses

Primary practice location

3789 S Cramer Cir
Bloomington, IN 47403-8845

Mailing address

3789 S Cramer Cir
Bloomington, IN 47403-8845
Phone (812) 219-4172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1164610358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3789 S CRAMER CIR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038845",
            "telephone_number": "812-219-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3789 S CRAMER CIR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038845",
            "telephone_number": "812-219-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKWA",
        "first_name": "ESTHER",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "IN",
            "license": "0130-64-9918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.