Active NPI
Erick Herrera
- Community Health Worker
- Worcester, MA
National Provider Identifier
1780357392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- CHW00764
- Practice address
- 324 Clark St
Worcester, MA 01606-1214 - Phone
- (508) 752-3969
- NPI assigned
- Jul 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CHW00764 | MA | Primary |
Addresses
Primary practice location
324 Clark St
Worcester, MA 01606-1214
Mailing address
310 Main St
Winchendon, MA 01475-1006
Phone (978) 577-7351
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHW00764 | MA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1780357392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 MAIN ST",
"city": "WINCHENDON",
"state": "MA",
"postal_code": "014751006",
"telephone_number": "978-577-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 CLARK ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016061214",
"telephone_number": "508-752-3969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "ERICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MA",
"license": "CHW00764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.