Tavaun Aaron
Individual provider Active NPI Community Health Worker · Boston, MA
NPI 1992581243 · NPPES record last updated Sep 4, 2023
Key facts
- NPI
- 1992581243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 16015886 (MA)
- Practice address
- 19 Monson St
Boston, MA 02126-2911 - Phone
- (617) 888-5906
- NPI assigned
- Sep 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16015886 | MA | MD | Community Health Worker |
| A650818993360 | FL | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker |
172V00000X | 16015886 | MA | Yes |
| Peer Specialist | 175T00000X | A650818993360 | FL |
Addresses
Primary practice location
19 Monson St
Boston, MA 02126-2911
Mailing address
19 Monson Street
Boston, MA 02126
Other providers in Boston, MA
- Jeffrey Jan Aalberg Jr.
- Amin Aalipour
- Affan Ali Aamir
- Aaron Chan RN PC
- Marissa S Aaron
- Emily Joan Aarons
- Emily Loving Aaronson
- Karen Aase
- Shullamite Giovanna Ababioh
- Abac Incorporated
All providers in Boston, MA · Community Health Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.