Tianna Betser, CPSS
Individual provider Active NPI Community Health Worker · Stanton, MI
NPI 1720555154 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1720555154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 611 N State St
Stanton, MI 48888-9702 - Phone
- (989) 831-7520
- Fax
- (989) 831-7578
- NPI assigned
- Oct 24, 2018
- 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
611 N State St
Stanton, MI 48888-9702
Mailing address
611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1715928 | Medicaid | MI |
Other providers in Stanton, MI
- Jennifer Marie Bauer
- Cheryl L Baxter
- Terra Bazzi
- Michelle Renee Bekkering
- Cynthia Bergakker
- Joelle Black
- Pilar Blackledge
- Mary Patirica Boatwright
- Melissa Bolanos
- Justine Bollinger
All providers in Stanton, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2021. 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.