Tina Dildine

Individual provider Active NPI Community Health Worker · Commerce TWP, MI

NPI 1699627331 · NPPES record last updated Feb 13, 2026

Key facts

NPI
1699627331
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
8896 Commerce Rd Ste 5
Commerce TWP, MI 48382-4494
Phone
(248) 360-9241
Fax
(248) 360-0830
NPI assigned
Feb 13, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Center Pediatrics PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

8896 Commerce Rd Ste 5
Commerce TWP, MI 48382-4494

Mailing address

8896 Commerce Rd Ste 5
Commerce TWP, MI 48382-4494
Phone (248) 360-9241

Other providers in Commerce TWP, MI

All providers in Commerce TWP, MI · Community Health Worker in Michigan

Sources for this page

Verify at the official NPI Registry.