Hailie R Wright, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

112516 Issued in OR

Practice address

11656 Sublimity Rd SE
Sublimity, OR 97385-9534

Phone

(503) 884-7318

NPI assigned

Oct 29, 2024

Last updated

Oct 29, 2024By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1528880747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N 10TH AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831311",
            "telephone_number": "503-884-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11656 SUBLIMITY RD SE",
            "city": "SUBLIMITY",
            "state": "OR",
            "postal_code": "973859534",
            "telephone_number": "503-884-7318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 SE Church St",
            "address_purpose": "LOCATION",
            "city": "Sublimity",
            "state": "OR",
            "postal_code": "973859424",
            "country_code": "US",
            "telephone_number": "503-769-2259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 N 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Stayton",
            "state": "OR",
            "postal_code": "973831311",
            "country_code": "US",
            "telephone_number": "503-884-7318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "HAILIE",
        "middle_name": "R",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "112516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silverton Hospital
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• Mary Windsor, LMT
• Edgar Antonio Zarazua, CHW

• Community Health Worker in Sublimity, OR
• Providers in Sublimity, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.