Active NPI
Jenni Peirce, CHW
- Community Health Worker
- Burns, OR
National Provider Identifier
1306593587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- THW000105984
- Practice address
- 559 W Washington St
Burns, OR 97720-1441 - Phone
- (541) 573-2074
- Fax
- (541) 573-4240
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | THW000105984 | OR | Primary |
Addresses
Primary practice location
559 W Washington St
Burns, OR 97720-1441
Mailing address
559 W Washington St
Burns, OR 97720-1441
Phone (541) 573-2074
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW000105984 | OR | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1306593587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 W WASHINGTON ST",
"city": "BURNS",
"state": "OR",
"postal_code": "977201441",
"telephone_number": "541-573-2074",
"fax_number": "541-573-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 W WASHINGTON ST",
"city": "BURNS",
"state": "OR",
"postal_code": "977201441",
"telephone_number": "541-573-2074",
"fax_number": "541-573-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIRCE",
"first_name": "JENNI",
"credential": "CHW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "THW000105984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burns, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.