Bottom Up Outreach Center

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

17053251337009 Issued in NC

Legal business name

BOTTOM UP OUTREACH CENTER

Practice address

554 Bedford Knoll Dr
Winston Salem, NC 27107-2023

Phone

(336) 995-8370

NPI assigned

Aug 6, 2013

Last updated

Aug 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Whaley

Title

President

Phone

(336) 995-8370

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1447682935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 BEDFORD KNOLL DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271072023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 BEDFORD KNOLL DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271072023",
            "telephone_number": "336-995-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTTOM UP OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-995-8370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NC",
            "license": "17053251337009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Elisabeth Bostwick, FNP
• Lee Boswell, PT,DPT, ATC,CMTPT
• Madison Whitlock Boswell, CPNP-PC
• Howard Thomas Bosworth, PSY.D.
• Alyssa Szymanski Botte, LPC
• Trenton Bottoms, DDS
• Sydnie Christmas Bottorff
• Roshelle Bournes
• Bourret Inc (Nuear Hearing Center)
• Gregory D Bouyer, M.D.

• Community Health Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.