Joyce Carter

Individual provider Active NPI Community Health Worker · Greenville, CA

NPI 1962783308 · NPPES record last updated Aug 30, 2011

Key facts

NPI
1962783308
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
125399361-0011 (NV)
Practice address
312 Crescent St.
Greenville, CA 95947
Phone
(530) 284-7007
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
125399361-0011NVMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Circle Family Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 125399361-0011 NV Yes

Addresses

Primary practice location

312 Crescent St.
Greenville, CA 95947

Mailing address

PO Box 554
Greenville, CA 95947
Phone (530) 284-7007

Other providers in Greenville, CA

All providers in Greenville, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.