Community Action Agency

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

4703062118 Issued in MI

Legal business name

COMMUNITY ACTION AGENCY

Practice address

400 W South St
Adrian, MI 49221-3825

Phone

(517) 263-7861

Fax

(517) 263-6531

NPI assigned

Dec 23, 2008

Organization subpart

Yes

Parent organization

WOMEN INFANTS CHILDRENAs reported in NPPES

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

Authorized official

Name

Toby Berry

Title

Chief Executive Officer

Phone

(517) 539-8311

Specialties & licenses 2

Addresses

Other names 1

• W.I.C Other name

Tax ID family

Region II Caa2 organizations share this tax ID, including this one

Part of

Region II Caa

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Action Agency

  • Voluntary or Charitable Agency
  • Adrian, MI
  • NPI 1831311091
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Wessell, MS, RD, LD, CLS

  • Registered Dietitian
  • Adrian, MI
  • NPI 1750851770
  NPD

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1942446927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W SOUTH ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213825",
            "telephone_number": "517-263-7861",
            "fax_number": "517-263-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W SOUTH ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213825",
            "telephone_number": "517-263-7861",
            "fax_number": "517-263-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMEN INFANTS CHILDREN",
        "enumeration_date": "2008-12-23",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "517-539-8311"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MI",
            "license": "4703062118",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "4703062118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W.I.C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jared Cole, LLMSW
• Lindsay Cole
• Meagan Coleman
• Deborah Jean Comeau, B.A.
• Community Action Agency
• Compass Counseling & Coaching, PLLC
• Cara A Condon, O.D.
• William Conrad
• Shebraska Contreras
• Ashleigh Marie Cooper, FNP-C

• Nutrition Education Nutritionist in Adrian, MI
• Providers in Adrian, MI by specialty
• Nutrition Education Nutritionist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.