Cheri Wortham

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1617 E Saginaw Way
Suite #102
Fresno, CA 93704-4458

Phone

(559) 274-0299

Fax

(559) 244-0328

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1346466901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E SAGINAW WAY",
            "address_2": "SUITE #102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937044458",
            "telephone_number": "559-274-0299",
            "fax_number": "559-244-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E SAGINAW WAY",
            "address_2": "SUITE #102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937044458",
            "telephone_number": "559-274-0299",
            "fax_number": "559-244-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHAM",
        "first_name": "CHERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ART NPI NUMBER",
            "identifier": "1669559878",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael J Wren, P.A.-C
• Angie M T Wright Morrow

• Community Health Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.