REBECCA JEAN ILLINGWORTH (NPI# 1285241240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285241240 |
| Entity Type | Individual |
| Full Name | REBECCA JEAN ILLINGWORTH |
| Practice Address |
3001 S Hanover St Baltimore MD 21225-1233 |
| Practice Telephone | 4103539202 |
| Mailing Telephone | 4103539202 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| 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 |
3001 S HANOVER ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21225-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044900 | Julie A Price | Specialist | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2005-06-28 |
| 1477152775 | Jennifer Anyika | Nurse Practitioner | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2020-10-19 |
| 1134736101 | Carla Denise Youngblood | Health Educator | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2020-09-24 |
| 1982211942 | Antoine Langley | Community Health Worker | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2020-09-24 |
| 1780238709 | Brianna Tapp | Physician Assistant | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2019-07-29 |
| 1679057574 | Sara Peuster | Specialist/Technologist | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2018-09-18 |
| 1457839383 | Sona Aloyan | Student in an Organized Health Care Education/Training Program | 3001 S Hanover St, Department of Medicine, Baltimore, MD 21225-1233 | 2018-08-02 |
| 1932695665 | Tilachan Parajuli | Student in an Organized Health Care Education/Training Program | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2018-07-05 |
| 1952897811 | Fatima Hafizi | Student in an Organized Health Care Education/Training Program | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2018-07-03 |
| 1558867259 | Jason L Chien | Student in an Organized Health Care Education/Training Program | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2018-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120293 | Sumit Chhetri | Student in an Organized Health Care Education/Training Program | 3001 S. Hanover St, Department of Medicine, Baltimore, MD 21225 | 2018-07-13 |
| 1003334657 | Matthew Scott Leeney | Physician Assistant | Medstar Harbor Hospital 3001 S Hanover St, Baltimore, MD 21225 | 2017-09-05 |
| 1396281168 | Hasya Pearlman | Social Worker | 410 East Jeffrey Street, Baltimore, MD 21225 | 2017-01-17 |
| 1215484852 | Anta Kah | Nurse Practitioner | 3001 S. Hanover St, Baltimore, MD 21225 | 2016-09-01 |
| 1649629320 | Eddie Jung | Chiropractor | 541 E Patapsco Ave Ste 206, Baltimore, MD 21225 | 2016-06-03 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1871841304 | Rachel Anne Hinckley | Pharmacist | 5804 Governor Ritchie Highway, Baltimore, MD 21225 | 2012-08-15 |
| 1174833040 | Vincent M. Notarangelo, Md, Pa | Ophthalmology | 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 | 2010-10-13 |
| 1053647354 | Adindu David Ezeocha | Pharmacist | 5804 Ritchie Hwy, Baltimore, MD 21225 | 2009-10-22 |
| 1700018090 | Gayathri Murthy | Internal Medicine | Medstar Harbor Hospital, 3001 S Hanover St, Baltimore, MD 21225 | 2009-08-20 |
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| 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 |
|---|---|---|---|---|
| 1386251114 | Rebecca S Peterson | Community Health Worker | 5601 Loch Raven Blvd # G4, Baltimore, MD 21239-2945 | 2020-09-25 |
| 1275140097 | Justice Kiplangat Koskei | Community Health Worker | 3001 S Hanover St # Sa-155, Baltimore, MD 21225-1233 | 2020-09-25 |
| 1205459468 | Destiny Michele Murdock | Community Health Worker | 537 Oakland Ave, Baltimore, MD 21212-4809 | 2020-05-22 |
| 1023646726 | Keyawna Scruggs | Community Health Worker | 5511 Moravia Rd, Baltimore, MD 21206-6130 | 2020-03-29 |
| 1033672076 | Darryl Kemp | Community Health Worker | 1311 N Luzerne Ave, Baltimore, MD 21213-3715 | 2019-04-08 |
| 1023463742 | Antonio L Mccan Sr. | Community Health Worker | 2120 Koko Ln, Baltimore, MD 21216-2924 | 2016-05-02 |
| 1578970034 | Community Health and Immunization Services, LLC | Community Health Worker | 921 E Fort Ave, Suite 100b, Baltimore, MD 21230-5134 | 2014-07-16 |
| 1104251347 | Her Mind Her Body Clinical Associates | Community Health Worker | 2601 N Rolling Rd Ste 105, Baltimore, MD 21244-1988 | 2013-09-06 |
| 1598063596 | Victor Nwachukwu | Community Health Worker | 1515 Alconbury Rd Apt F, Baltimore, MD 21221-4025 | 2011-03-01 |
| 1851605588 | Gabrielle Babolal | Community Health Worker | 5901 Queen Anne St, Baltimore, MD 21207-3918 | 2010-08-05 |
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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.