Cathy Helen McCallum

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

8525 100TH CT
Vero Beach, FL 32967-3365

Phone

(772) 589-1957

NPI assigned

Oct 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1982914115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 100TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329673365",
            "telephone_number": "772-589-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 100TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329673365",
            "telephone_number": "772-589-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "CATHY",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689007598",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689007596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Cristina Mays, MD
• Krista Mazzarella, ARNP
• Michael Anthony Mazziotta II, DPM
• MB Community Wellness Provider LLC
• Matthew Mark McAndrew, D.M.D.
• Robert Andrew McCarron, M.D.
• Stacey McCarter
• Ronald Norman McCarty, CRNA,ARNP
• Mindy Noel McClain-Otto
• Barak McClain Sr.

• Community Health Worker in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.