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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Northern Rockies | Past |
Accepting new patients | |
| Volunteers of America Northern Rockies | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Cesar Garcia
- Daniel Garcia
- Deborah Susan Garcia
- Glen Michael Garcia
- Glenn Thomas Garcia
- Lindsey Garcia
- Melissa Garcia
- Natalie Maria Garcia
- Mary Lou Gardner
- Jaqueline Alexis Garibay
All providers in Cheyenne, WY · Community Health Worker in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2015. 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.