Tara Belonga
Individual provider Active NPI Community Health Worker · Saint Ignace, MI
NPI 1508712852 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1508712852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 248 Ferry LN
Saint Ignace, MI 49781-1828 - Phone
- (810) 392-2167
- NPI assigned
- Mar 9, 2026
- 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 | MI | Yes |
Addresses
Primary practice location
248 Ferry LN
Saint Ignace, MI 49781-1828
Mailing address
34337 W Country Rd
Trout Lake, MI 49793-8800
Other providers in Saint Ignace, MI
- Savannah Brooke Barthelemy
- Bay Pharmacy Inc
- Bayview OBGYN, P.C.
- Elizabeth Anne Becker
- Rebecca Rae Becker
- Jeffrey A Bender
- Darrin J Benzing
- Amy G Bolmer
- Mark Boshaw
- Zachary Adrian Brian
All providers in Saint Ignace, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. 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.