Daniel Ross Woertink, COMMUNITY WORKER

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

900 Marshall St
Truth Or Consequences, NM 87901-6600

Phone

(575) 740-5706

NPI assigned

Dec 12, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1972371763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MARSHALL ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879016600",
            "telephone_number": "575-740-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MARSHALL ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879016600",
            "telephone_number": "575-740-5706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Truth OR Consequences",
            "state": "NM",
            "postal_code": "879016600",
            "country_code": "US",
            "telephone_number": "575-740-5706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOERTINK",
        "first_name": "DANIEL",
        "middle_name": "ROSS",
        "credential": "COMMUNITY WORKER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Diane Weber, LMSW
• Scott Weber, COTS
• Jeffrey Harnden White, CRNA
• Amanda Lea Williams, FNP-C
• Lisa Willoughby, LCSW
• Christa Yosten
• Zen Lotus Counseling LLC

• Community Health Worker in Truth Or Consequences, NM
• Providers in Truth Or Consequences, NM by specialty
• Community Health Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.