Luz Omaira Betancur, CHW
Individual provider Active NPI Community Health Worker · Coventry, RI
NPI 1346032802 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1346032802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 200350 (RI)
- Practice address
- 375 Tiogue Ave Side Door
Coventry, RI 02816-7114 - Phone
- (401) 617-8489
- NPI assigned
- May 20, 2025
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200350 | RI | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 200350 | RI | Yes |
Addresses
Primary practice location
375 Tiogue Ave Side Door
Coventry, RI 02816-7114
Mailing address
1643 Warwick Ave Ste 200
Warwick, RI 02889-1525
Phone (401) 617-8489
Other providers in Coventry, RI
- Rina Marie Bedford
- Keith Dylan Bennett
- Jennifer Anne Berard
- Bernard G Coppolelli DPM, Inc
- Leanne Bertha
- Bewell Therapy Collaborative, LLC
- Chelsey C. Bhadouria
- Bike-on.Com, Inc
- BJ'S Wholesale Club Inc.
- BKD New England Bay LLC
All providers in Coventry, RI · Community Health Worker in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. 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.