Individual provider Active NPI

Erin Elizabeth Cammon, LMP

  • Community Health Worker
  • Tacoma, WA
National Provider Identifier
1730337916
Registry record updated Aug 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
MA25206 Issued in WA
Practice address
1919 N Pearl St
Suite A4
Tacoma, WA 98406-2461
Phone
(253) 761-0930
NPI assigned
Aug 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X MA25206 WA Primary

Addresses

Primary practice location

1919 N Pearl St
Suite A4
Tacoma, WA 98406-2461

Mailing address

3279 70TH Ave E
Apt. A102
Fife, WA 98424-3657
Phone (253) 353-5613

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

LicenseStateTypeSpecialty
MA25206WAMDCommunity Health Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220140800000",
    "number": "1730337916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3279 70TH AVE E",
            "address_2": "APT. A102",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984243657",
            "telephone_number": "253-353-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N PEARL ST",
            "address_2": "SUITE A4",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062461",
            "telephone_number": "253-761-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMON",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-31",
        "last_updated": "2008-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "MA25206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2008; 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.