Melissa Anderson

Individual provider Active NPI Community Health Worker · Athens, OH

NPI 1770068686 · NPPES record last updated Sep 26, 2018

Key facts

NPI
1770068686
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
11 Graham Dr
Athens, OH 45701-1430
Phone
(800) 321-8293
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Services for Behavioral Health Past
since Jan 30, 2016
Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

11 Graham Dr
Athens, OH 45701-1430

Mailing address

PO Box 1595
Columbus, OH 43216-1595

Other providers in Athens, OH

All providers in Athens, OH · Community Health Worker in Ohio

Sources for this page

Verify at the official NPI Registry.