Bobbi Sue Gregory, CHW-C, CPHT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

17745 Issued in MO

Practice address

857 E Main St Ste 4
Willow Springs, MO 65793-1512

Phone

(417) 855-1085

NPI assigned

May 22, 2024

Last updated

May 22, 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BG2 Clinical Services LLC

  • Family Medicine Physician
  • Willow Springs, MO
  • NPI 1306629894

  Community Health Worker

  NPD
• Good Graces

  dba Good Graces Pharmacy

  • Long Term Care Pharmacy
  • Willow Springs, MO
  • NPI 1174273114
  NPD
• Good Graces LLC

  dba Good Graces Pharmacy

  • Community/Retail Pharmacy
  • Willow Springs, MO
  • NPI 1265033534
  NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1548009269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 E MAIN ST STE 4",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657931512",
            "telephone_number": "417-855-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 E MAIN ST STE 4",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657931512",
            "telephone_number": "417-855-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "BOBBI",
        "middle_name": "SUE",
        "credential": "CHW-C, CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MO",
            "license": "2009023719",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NU",
            "license": "520107010094402",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MO",
            "license": "17745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke L. Fair, FNP
• Ferguson Drug
• Thomas Charles Gardner, APN
• Good Graces (Good Graces Pharmacy)
• Good Graces LLC (Good Graces Pharmacy)
• Brandon Gregory, PHARMD
• Cody Jack Gregory, PHARMACY TECH
• Kehnemund Gregory
• Mary Howell, MS
• Victoria Howerton, RN

• Community Health Worker in Willow Springs, MO
• Providers in Willow Springs, MO by specialty
• Community Health Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.