Active NPI
Jasmin Deramos, CCHW
- Community Health Worker
- Garden City, MI
National Provider Identifier
1700775004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 142899728
- Practice address
- 31143 Pardo St
Garden City, MI 48135-1849 - Phone
- (734) 855-0044
- NPI assigned
- Jul 1, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 142899728 | MI | Primary |
Addresses
Primary practice location
31143 Pardo St
Garden City, MI 48135-1849
Mailing address
31143 Pardo St
Garden City, MI 48135-1849
Phone (734) 855-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142899728 | MI | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1700775004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31143 PARDO ST",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481351849",
"telephone_number": "734-855-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31143 PARDO ST",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481351849",
"telephone_number": "734-855-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERAMOS",
"first_name": "JASMIN",
"credential": "CCHW",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": "142899728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.