Active NPI
Jayke Schrecengost
- Community Health Worker
- Lake Havasu City, AZ
National Provider Identifier
1952149783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 145 Lake Havasu Ave N
Lake Havasu City, AZ 86403-5616 - Phone
- (928) 855-6333
- NPI assigned
- Jul 16, 2024
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
145 Lake Havasu Ave N
Lake Havasu City, AZ 86403-5616
Mailing address
PO Box 966
Lake Havasu City, AZ 86405-0966
Phone (928) 855-6333
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Cities United Way | Community Health Worker | Current | Accepting new patients |
Locations
145 Lake Havasu Ave N
Lake Havasu City, AZ 86403
Phone (928) 486-8620
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Worker
- Lake Havasu City, AZ
- NPI 1326813833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1952149783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 966",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864050966",
"telephone_number": "928-855-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 LAKE HAVASU AVE N",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035616",
"telephone_number": "928-855-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRECENGOST",
"first_name": "JAYKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.