Debra Jo Bartlett, BS, CADCI, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3792 S Underwood Rd
Scottsburg, IN 47170-6320

Phone

(415) 612-2102

NPI assigned

Aug 30, 2023

Last updated

Nov 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1841075520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3792 S UNDERWOOD RD",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471706320",
            "telephone_number": "541-612-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3792 S UNDERWOOD RD",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471706320",
            "telephone_number": "415-612-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "DEBRA",
        "middle_name": "JO",
        "credential": "BS, CADCI, CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane A Avery, MD
• Tonie Avery, FNP
• Baptist Health Medical Group Inc
• Baptist Health Medical Group Inc
• Molly Barnes
• Toni Baumann
• Shera Kay Beckort, OTR
• Allison Berry
• Bio-Medical Applications of Indiana, Inc. (BMA Scottsburg)
• Bio-Medical Applications of Indiana, Inc. (Fresenius Medical Care Scott County)

• Community Health Worker in Scottsburg, IN
• Providers in Scottsburg, IN by specialty
• Community Health Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.