Individual provider Active NPI

Sylvia E Cervantes Garcia

  • Community Health Worker
  • Monmouth, OR
National Provider Identifier
1396354692
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
THW2166 Issued in OR
Practice address
180 Atwater St N
Monmouth, OR 97361-1801
Phone
(503) 378-7526
NPI assigned
Jul 23, 2020
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 THW2166 OR Primary

Addresses

Primary practice location

180 Atwater St N
Monmouth, OR 97361-1801

Mailing address

180 Atwater St N
Monmouth, OR 97361-1801
Phone (503) 378-7526

Other practice location 1

1233 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 378-7526

Other names 1

  • Sylvia E Garcia Chavez Former name

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

LicenseStateTypeSpecialty
THW2166ORMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1396354692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ATWATER ST N",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973611801",
            "telephone_number": "503-378-7526",
            "fax_number": "503-480-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ATWATER ST N",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973611801",
            "telephone_number": "503-378-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Edgewater St NW",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973044049",
            "country_code": "US",
            "telephone_number": "503-378-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES GARCIA",
        "first_name": "SYLVIA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "THW2166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVIA",
            "last_name": "GARCIA CHAVEZ",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monmouth, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.