Jamie Ann Fagerlie
Individual provider Active NPI Community Health Worker · Houghton Lake, MI
NPI 1174388367 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1174388367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 9249 W Lake City Rd
Houghton Lake, MI 48629-9602 - Phone
- (198) 939-0508
- NPI assigned
- Feb 16, 2024
- 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
9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Mailing address
226 Whitebirch Dr
Houghton Lake, MI 48629-9100
Phone (989) 390-5082
Other providers in Houghton Lake, MI
- Mercedes Erica Emard
- Endovascular Physicians of Michigan PC
- Ashley English
- David Mark Essmaker
- Eye Health of Houghton Lake, P.L.L.C.
- Family Eye Care PC
- Maryann T Fleischmann Frick
- Allison Marie Forbes
- Sarah Lynn Forrest
- Michelle Renee Foster
All providers in Houghton Lake, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. 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.