Yvonne K Davis, COMMUNITY HEALTH REP

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

560 Quileute Heights
Quileute Health Center
La Push, WA 98350

Phone

(360) 674-4273

Fax

(360) 374-2644

NPI assigned

Jan 17, 2017

Last updated

Mar 2, 2017By 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

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1659817583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "LA PUSH",
            "state": "WA",
            "postal_code": "98350",
            "telephone_number": "360-674-4273",
            "fax_number": "360-374-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 QUILEUTE HEIGHTS",
            "address_2": "QUILEUTE HEALTH CENTER",
            "city": "LA PUSH",
            "state": "WA",
            "postal_code": "98350",
            "telephone_number": "360-674-4273",
            "fax_number": "360-374-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "YVONNE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "COMMUNITY HEALTH REP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Worker in La Push, WA
• Providers in La Push, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.