MISS MALIA-ROSE NICOLE FORBIS (NPI# 1124376298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124376298 |
| Entity Type | Individual |
| Full Name | MISS MALIA-ROSE NICOLE FORBIS |
| Credential | PEER SUPPORT SPEC |
| Practice Address |
3878 Beverly Ave Ne Bldg H Salem OR 97305-1394 |
| Mailing Address |
379 Knox St N Apt 1 Monmouth OR 97361-1400 |
| Practice Telephone | 5035764584 |
| Mailing Telephone | 5038995660 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | A4730 | OR | Other Service Providers |
| Street Address |
3878 BEVERLY AVE NE BLDG H |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538390992 | Peter Christopher Davis Jr. | Counselor | 3878 Beverly Ave Ne Bldg H, Salem, OR 97305-1394 | 2009-08-04 |
| 1205453701 | Rebecca Lee Beckley | Occupational Therapist | 3878 Beverly Ave Ne Bldg H, Salem, OR 97305-1394 | 2020-06-30 |
| 1285135830 | Melanie Sue Wheeler | Occupational Therapist | 3878 Beverly Ave Ne Bldg H, Salem, OR 97305-1394 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| 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 |
|---|---|---|---|---|
| 1679117022 | Juana Laura Damian Damian | Community Health Worker | 4373 Satter Pl Ne, Salem, OR 97305-4107 | 2019-10-29 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1952826661 | Tracy Lopez-mendoza | Community Health Worker | 3180 Center St Ne Ste 1360, Salem, OR 97301-4532 | 2017-08-03 |
| 1770024283 | Laura Pacheco | Community Health Worker | 29 Albion St, Salem, MA 01970-1303 | 2017-03-16 |
| 1427407501 | Stephanie Gibson | Community Health Worker | 600b N Lake Dr, Salem, SC 29676-2406 | 2016-06-08 |
| 1255788683 | Roxanne Mcanally | Community Health Worker | 980 Terrace Dr Nw, Salem, OR 97304-3726 | 2016-05-16 |
| 1598127532 | Paula Marie Rowe | Community Health Worker | 4001 12th St Cutoff Se, Apt 11, Salem, OR 97302-1770 | 2016-03-28 |
| 1831557446 | Antonio J Cervantes | Community Health Worker | 3998 Nestor Ln Ne, Salem, OR 97305-3922 | 2016-02-10 |
| 1861859449 | Jenny Abarca | Community Health Worker | 9 Sable Rd, Salem, MA 01970-1015 | 2016-01-27 |
| 1134585540 | Nikolay Shalashov | Community Health Worker | 4485 Great Plains Dr Ne, Salem, OR 97305-3681 | 2016-01-14 |
| Find all providers in SALEM | ||||
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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.