Carole Koon
Individual provider Active NPI Community Health Worker · Fleming, OH
NPI 1487320222 · NPPES record last updated Aug 20, 2021
Key facts
- NPI
- 1487320222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1715 Warren Chapel Rd
Fleming, OH 45729-5090 - Phone
- (740) 516-9119
- NPI assigned
- Aug 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1715 Warren Chapel Rd
Fleming, OH 45729-5090
Mailing address
1715 Warren Chapel Rd
Fleming, OH 45729-5090
Phone (740) 516-9119
Other providers in Fleming, OH
- Tanya Boyd
- Sharon Louise Engle
- Autumn Eppley
- Rachelle Dawn Hill
- Jennifer Sue King
- Jane Marie Kubala
- Krista Ellizabeth Simon
- Diane Webb
All providers in Fleming, OH · Community Health Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2021. 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.