PASSPORT HEALTH (NPI# 1154594067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154594067 |
| Entity Type | Organization |
| Organization Name | PASSPORT HEALTH |
| Practice Address |
600 W Cummings Park Ste 1300 Woburn MA 01801-6376 |
| Practice Telephone | 6174183675 |
| Practice Fax Number | 7819395755 |
| Mailing Telephone | 6174183675 |
| Mailing Fax Number | 7819395755 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | JULIE M BARKER (MANAGER) |
| Authorized Official Telephone | 6174183675 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | 244342 | MA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376097980 | Passport Health | Public Health or Welfare | 890 Mill St Ste 301, Reno, NV 89502-1436 | 2016-08-11 |
| 1770961187 | Passport Health | Clinic/Center | 3117 Geary Blvd, San Francisco, CA 94118-3316 | 2015-05-18 |
| 1861816357 | Passport Health | Clinic/Center | 8249 W 95th St., Overland Park, KS 66212 | 2014-02-05 |
| 1942635362 | Passport Health | Clinic/Center | 6710 E Camelback Rd Ste 200, Scottsdale, AZ 85251-2031 | 2013-09-04 |
| 1578896486 | Passport Health | Clinic/Center | 2525 Camino Del Rio S Ste 325, San Diego, CA 92108-3784 | 2009-09-09 |
| 1184957235 | Passport Health | Clinic/Center | 921 E Fort Ave Ste 100, Baltimore, MD 21230-5135 | 2009-09-08 |
| 1205255247 | Passport Health | Clinic/Center | 2025 S Brentwood Blvd, Suite 101, Saint Louis, MO 63144-1833 | 2014-04-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PASSPORT HEALTH | 13820 Crest Hill Ln, Silver Spring, MD 20905-4470 |
| System for Award Management (SAM) Entities | PASSPORT HEALTH COLORADO | 405 Urban St Ste 320, Lakewood, CO 80228-1222 |
| Colorado Business Entities | PASSPORT HEALTH COMMUNICATIONS, INC | 720 Cool Springs Blvd #450, Franklin, TN 37067 |
| Connecticut Business Registrations | PASSPORT HEALTH COMMUNICATIONS, INC | 720 Cool Springs Blvd Ste 200, Franklin, TN 37067 |
| Indiana Business Entities | PASSPORT HEALTH COMMUNICATIONS, INC | 720 Cool Springs Blvd #450, Franklin, TN 37067 |
| Massachusetts Corporations | PASSPORT HEALTH COMMUNICATIONS, INC. | 720 Cool Springs Blvd., Suite 200, Franklin, TN 37067 |
| Massachusetts Corporations | PASSPORT HEALTH HOLDINGS, LLC | 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255 |
| System for Award Management (SAM) Entities | PASSPORT HEALTH OKLAHOMA | 3330 Nw 56th St Ste 220, Oklahoma City, OK 73112-4426 |
| Street Address |
600 W CUMMINGS PARK STE 1300 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-6376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| 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 |
|---|---|---|---|---|
| 1790141646 | Michelle Holland | Community Health Worker | 400 Tradecenter, Woburn, MA 01801-7452 | 2016-01-07 |
| 1679986848 | Community Health and Immunization Services | Community Health Worker | 500 West Cummings Park, Suite 2475, Woburn, MA 01801-6536 | 2014-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929263 | Taylor Marston | Community Health Worker | 56 Cherry St # 3, Brockton, MA 02301-2608 | 2020-10-12 |
| 1538775309 | Edward Earl Anderson Jr. | Community Health Worker | 64 Poydras St, Hyde Park, MA 02136-6419 | 2020-09-17 |
| 1861008682 | Kathryn Mary Carbone | Community Health Worker | 131 Norfolk St, Quincy, MA 02170-1227 | 2020-09-17 |
| 1801428305 | Alison Tully | Community Health Worker | 81 Morton St Apt 3, Fall River, MA 02720-2891 | 2020-02-12 |
| 1225678444 | Katelin Riley | Community Health Worker | 79 Taunton St, Bellingham, MA 02019-1470 | 2020-01-15 |
| 1528619392 | Felecia Marie Burns-yanis | Community Health Worker | 4 Church St Apt 5, Oxford, MA 01540-1956 | 2019-09-24 |
| 1902450406 | Passport Health Holdings, LLC | Community Health Worker | 345 Boylston Street Floor 2, Suite 202, Newton, MA 02459-2863 | 2019-08-01 |
| 1417514142 | Colleen Ann Burke | Community Health Worker | 26 Ellsworth St, Athol, MA 01331-2013 | 2019-05-29 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1477025088 | Teresa M Valerio | Community Health Worker | East Cambridge Health Center, 163 Gore St, Cambridge, MA 02141 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
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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.