BETH BERGESON (NPI# 1215558648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215558648 |
| Entity Type | Individual |
| Full Name | BETH BERGESON |
| Practice Address |
252 W Brooklyn Ave Salt Lake City UT 84101-3024 |
| Practice Telephone | 8013639400 |
| Mailing Telephone | 8013639400 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| 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 |
252 W BROOKLYN AVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836393 | Brittney Emi Vaovasa | Peer Specialist | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2019-02-06 |
| 1750988630 | Brett Burrows | Community Health Worker | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2020-10-05 |
| 1245837111 | Nikel Taylor | Community Health Worker | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2020-10-05 |
| 1750990412 | Melissa Leos-castillo | Community Health Worker | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2020-07-29 |
| 1790394377 | Brandy Neal | Community Health Worker | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2020-07-29 |
| 1851900443 | Paul Elliott | Community Health Worker | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2020-07-29 |
| 1548881857 | Bridget Kelley | Community Health Worker | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2020-04-28 |
| 1104447440 | Laurie Herring | Community Health Worker | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2020-04-28 |
| 1558982892 | Melody Chacon | Community Health Worker | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2020-04-28 |
| 1881215143 | Patrick Martinez | Community Health Worker | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| 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 |
|---|---|---|---|---|
| 1033683990 | Mindy Gailey | Community Health Worker | 1020 S Main St Fl 3, Salt Lake City, UT 84101-3176 | 2019-01-14 |
| 1508336926 | Kevin Patton Howlett | Community Health Worker | 682 E Vine St Ste 8, Salt Lake City, UT 84107-5100 | 2018-11-28 |
| 1083184402 | Holly Marie Petersen | Community Health Worker | 1020 S Main St # 200, Salt Lake City, UT 84101-3176 | 2018-11-28 |
| 1114402377 | Felicia Marie Speer | Community Health Worker | 1303 Sir Phillip Dr, Salt Lake City, UT 84116 | 2018-10-03 |
| 1134604580 | Luke Reed Madsen | Community Health Worker | 780 S Guardsman Way # 84108, Salt Lake City, UT 84108-1374 | 2018-10-02 |
| 1487157053 | Lisa Marie Bigler | Community Health Worker | 1141 E 3900 S Ste 150a, Salt Lake City, UT 84124-1215 | 2018-03-09 |
| 1366994162 | Veronica Rose Kolodich Cleary Williams | Community Health Worker | 334 East 100 South, Ste 301, Salt Lake City, UT 84111 | 2016-10-27 |
| 1588113583 | Alicia Dalton | Community Health Worker | 1357 N Redwood Rd Apt 19, Salt Lake City, UT 84116-1449 | 2016-10-02 |
| 1255789608 | Thomas Price | Community Health Worker | 344 E 100 S, Ste 301, Salt Lake City, UT 84111 | 2016-05-26 |
| 1326492265 | Caroline Kliss | Community Health Worker | 343 East 100 South, Ste 301, Salt Lake City, UT 84111 | 2016-04-18 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84101 |
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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.