Healthy Communities Coalition

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

HEALTHY COMMUNITIES COALITION

Practice address

209 Dayton Valley Rd
Dayton, NV 89403-8919

Phone

(775) 246-7550

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Kodi Dettling

Title

Project Director

Phone

(775) 246-7550

Specialties & licenses 1

Addresses

Other names 1

• Healthy Communities Coalition Doing business as

Locations

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1508567595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894030517",
            "telephone_number": "775-246-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 DAYTON VALLEY RD",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894038919",
            "telephone_number": "775-246-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY COMMUNITIES COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "DETTLING",
        "authorized_official_first_name": "KODI",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "775-246-7550"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Communities Coalition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Frugoli, DMD
• Cameryn Maegen Garmire
• Christopher Gentine, C.A.D.C.
• Brenda Susan Hamilton, RN
• Jennifer A Hawelu, LCSW
• High Desert Therapists, Inc
• Wendell Hintz
• Independent Living Centers, Inc.
• Jocelyn Jacobo
• Ashley Chandler Johnson, LCSW

• Community Health Worker in Dayton, NV
• Providers in Dayton, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.