MR. RYAN CHARLES WEATHEROY (NPI# 1073174447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073174447 |
| Entity Type | Individual |
| Full Name | MR. RYAN CHARLES WEATHEROY |
| Practice Address |
3400 Montgomery Dr Santa Rosa CA 95405-5142 |
| Mailing Address |
1100 Lincoln Ave Ste 108 Napa CA 94558-4908 |
| Practice Telephone | 7075266902 |
| Mailing Telephone | 7072553719 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
3400 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-5142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932224227 | Progress Foundation | Community Based Residential Treatment Facility, Mental Illness | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2007-03-19 |
| 1558982959 | Sarah Magnani | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2020-04-27 |
| 1760026132 | Bryce Autumn Farber | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2019-10-29 |
| 1205488905 | Ivette Carrillo Gonzalez | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2019-07-12 |
| 1740748078 | Sean Kincaid | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2019-03-05 |
| 1457816100 | Stephanie Margaret Swanson | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2019-02-06 |
| 1023573235 | Monique Lucarelli | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2019-02-01 |
| 1588129795 | Giulianna Zocchetti | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2019-02-01 |
| 1891263455 | Noemi Guadalupe Degante Blancas | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2018-11-12 |
| 1053894915 | Fraser Allen Fontane | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1427668433 | Jasmine Segura | Community Health Worker | 1120 Gordon Ln, Santa Rosa, CA 95404-5636 | 2020-08-04 |
| 1679183693 | Kelsey Theresa O'brien | Community Health Worker | 1120 Gordon Ln, Santa Rosa, CA 95404-5636 | 2020-08-04 |
| 1871103879 | Jordan Ranft | Community Health Worker | 3371 Parker Hill Rd, Santa Rosa, CA 95404-1732 | 2020-08-04 |
| 1073121687 | Alexandra Hendricks | Community Health Worker | 1120 Gordon Ln, Santa Rosa, CA 95404-5636 | 2020-07-20 |
| 1639793862 | Amanda Titone | Community Health Worker | 3371 Parker Hill Rd, Santa Rosa, CA 95404-1732 | 2020-06-03 |
| 1801417852 | Perpetual Sena Wolter | Community Health Worker | 3371 Parker Hill Rd, Santa Rosa, CA 95404-1732 | 2020-04-30 |
| 1558982959 | Sarah Magnani | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2020-04-27 |
| 1699303982 | Tamera Downing-cramer | Community Health Worker | 1120 Gordon Ln, Santa Rosa, CA 95404-5636 | 2020-03-31 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.