Tabatha Lynn Gollihue
Individual provider Active NPI Community Health Worker · Greenup, KY
NPI 1508587783 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1508587783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 57 Dora LN
Greenup, KY 41144-1187 - Phone
- (606) 329-8588
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
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
57 Dora LN
Greenup, KY 41144-1187
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other providers in Greenup, KY
- Christopher Fraley
- Brigette Fritz
- William Gallaher
- Naomi Lois Gilliam
- Lorena Ginn
- Greenup Co Health Dept
- Greenup County Ambulance Authority
- Greenup County Board of Education
- Greenup County Board of Education
- Greenup Health and Wellness
All providers in Greenup, KY · Community Health Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. 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.