Jeffrey J Garcia

Individual provider Active NPI Community Health Worker · Cheyenne, WY

NPI 1598144222 · NPPES record last updated May 27, 2015

Key facts

NPI
1598144222
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
1805 Edgewater Ave
Cheyenne, WY 82009-7311
Phone
(307) 637-3952
NPI assigned
May 27, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Northern Rockies Past
since Apr 28, 2024
Accepting new patients
Volunteers of America Northern Rockies Past
since Apr 28, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

1805 Edgewater Ave
Cheyenne, WY 82009-7311

Mailing address

1805 Edgewater Ave
Cheyenne, WY 82009-7311
Phone (307) 637-3952

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2015.

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1598144222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 EDGEWATER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097311",
            "telephone_number": "307-637-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 EDGEWATER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097311",
            "telephone_number": "307-637-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

All providers in Cheyenne, WY · Community Health Worker in Wyoming

Sources for this page

Verify at the official NPI Registry.