Active NPI
Empowered to Achieve
- Community Health Worker
- Palm Desert, CA
National Provider Identifier
1720955487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- EMPOWERED TO ACHIEVE
- Practice address
- 74924 Country Club Dr.
Ste. 150 #101
Palm Desert, CA 92260 - Phone
- (909) 255-0264
- NPI assigned
- Oct 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danitra Nicole Jackson
- Title
- Executive Director
- Phone
- (909) 255-0264
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Voluntary or Charitable Agency | 251V00000X |
Addresses
Primary practice location
74924 Country Club Dr.
Ste. 150 #101
Palm Desert, CA 92260
Mailing address
74924 Country Club Dr Ste 150
Palm Desert, CA 92260-1969
Phone (909) 255-0264
National Provider Directory
National Provider DirectoryLocations
74924 Country Club Dr
Ste 150
Palm Desert, CA 92260
Phone (909) 255-0264
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Palm Desert, CA
- NPI 1093507881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760745600000",
"number": "1720955487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74924 COUNTRY CLUB DR STE 150",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922601969",
"telephone_number": "909-255-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74924 COUNTRY CLUB DR.",
"address_2": "STE. 150 #101",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "909-255-0264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERED TO ACHIEVE",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-18",
"last_updated": "2025-10-18",
"certification_date": "2025-10-18",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "DANITRA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "909-255-0264"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.