Khamerance Bullocks, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

20975 Issued in TX

Practice address

8102 Midcrown Dr
Windcrest, TX 78239-2535

Phone

(210) 504-8015

NPI assigned

Jun 9, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1508790379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 MIDCROWN DR",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392535",
            "telephone_number": "210-504-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 MIDCROWN DR",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392535",
            "telephone_number": "210-504-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCKS",
        "first_name": "KHAMERANCE",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "20975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reena Utpal Bhalala, M.D
• Lori Ellen Blakey, LCSW
• Ana Blazek
• Jesus Botello Jr., PH.D.
• Claire Marcel Bottoms, DDS
• Alexander Michael Burger, DDS
• Jessica Canlas-Doan, DO
• Melissa Jeanette Castillo, CPHT
• Celebraces Walzem PLLC
• Sheri Chase, FNP

• Community Health Worker in Windcrest, TX
• Providers in Windcrest, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.