Ashley Taskila
Individual provider Active NPI Community Health Worker · Calumet, MI
NPI 1649026006 · NPPES record last updated Oct 9, 2024
Key facts
- NPI
- 1649026006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 56720 Calumet Ave
Calumet, MI 49913-1904 - Phone
- (906) 483-1177
- NPI assigned
- Apr 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
56720 Calumet Ave
Calumet, MI 49913-1904
Mailing address
301 Explorer St
Gwinn, MI 49841-2813
Phone (906) 483-1177
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All providers in Calumet, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2024. 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.