Individual provider Active NPI

Joycelyn Thierry

  • Community Health Worker
  • Killeen, TX
National Provider Identifier
1780475186
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1033 S Fort Hood St Ste 105
Killeen, TX 76541-2584
Phone
(254) 319-7571
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Religious Nonmedical Practitioner 374K00000X
Religious Nonmedical Nursing Personnel 374T00000X
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

1033 S Fort Hood St Ste 105
Killeen, TX 76541-2584

Mailing address

1033 S Fort Hood St Ste 105
Killeen, TX 76541-2584
Phone (254) 319-7571

Other practice location 1

3402 Bugle Dr
Killeen, TX 76543-7139
Phone (254) 319-7571

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

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1780475186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 S FORT HOOD ST STE 105",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765412584",
            "telephone_number": "254-319-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 S FORT HOOD ST STE 105",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765412584",
            "telephone_number": "254-319-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 Bugle Dr",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765437139",
            "country_code": "US",
            "telephone_number": "254-319-7571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIERRY",
        "first_name": "JOYCELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.