Amy Diaz, MA, LIFE COACH
Individual provider Active NPI Community Health Worker · Brockway, PA
NPI 1679129498 · NPPES record last updated Aug 16, 2019
Key facts
- NPI
- 1679129498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 108 David LN
Brockway, PA 15824-1503 - Phone
- (814) 590-7885
- NPI assigned
- Aug 16, 2019
- 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
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
108 David LN
Brockway, PA 15824-1503
Mailing address
145 Hospital Ave
Du Bois, PA 15801-1462
Phone (814) 371-4361
Other providers in Brockway, PA
- Clearfield-Jefferson MHMR Program
- Clearfield-Jefferson MHMR Program
- Casie Jonel Costion
- Joan Elizabeth Crawford
- James Edward Devlin
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Bruna M. Grieneisen
- Deborah Grunthaner
All providers in Brockway, PA · Community Health Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2019. 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.