Rebecca Decker
Individual provider Active NPI Community Health Worker · Vienna, OH
NPI 1922413616 · NPPES record last updated Jun 22, 2014
Key facts
- NPI
- 1922413616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 3683 Warren Sharon Rd
Vienna, OH 44473-9534 - Phone
- (330) 979-1879
- NPI assigned
- Jun 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
3683 Warren Sharon Rd
Vienna, OH 44473-9534
Mailing address
3683 Warren Sharon Rd
Vienna, OH 44473-9534
Phone (330) 979-1879
Other providers in Vienna, OH
- Brittany Ann Burwell
- Roger Lee Clouse
- Tammy Cogswell
- Daniel J. Fitzpatrick, D.O.
- Mark E. Davis
- Leslie Susan Dunlap
- Daniel J Fitzpatrick
- Tiffany Marie Foust
- Angela Fox
- John F Fox
All providers in Vienna, OH · Community Health Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.