Organization Active NPI

Empowered to Achieve

  • Community Health Worker
  • Palm Desert, CA
National Provider Identifier
1720955487
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
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

Updated by the provider on Oct 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danitra Nicole JacksonNPI 1093507881
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)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.