Consuelo Garcia
Individual provider Active NPI Community Health Worker · Payette, ID
NPI 1669201109 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1669201109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1441 NE 10TH Ave
Payette, ID 83661-5420 - Phone
- (208) 642-9376
- Fax
- (208) 642-9598
- NPI assigned
- Aug 1, 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1441 NE 10TH Ave
Payette, ID 83661-5420
Mailing address
1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376
Other providers in Payette, ID
- Emmett Family Services
- Family Services Treatment
- Family Services, PLLC
- Jose Felix
- Kayla Lee Finch
- Macie Gardner
- Gerdes Counseling
- Rina Giudicelli
- Rebecca Hammon
- Anne M Haney
All providers in Payette, ID · Community Health Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 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.