PETAL SHIELDS (NPI# 1336514827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336514827 |
| Entity Type | Individual |
| Full Name | PETAL SHIELDS |
| Practice Address |
121 Omega Ct Dallas GA 30157 |
| Mailing Address |
121 Omega Ct Dallas GA 30157-7467 |
| Practice Telephone | 4047861395 |
| Mailing Telephone | 4047861395 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| 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 |
121 OMEGA CT |
| City | DALLAS |
| State | GA |
| Zip Code | 30157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| 1114103686 | Christine J. Mezza | Counselor | 2260 Gold Mine Rd, Dallas, GA 30157 | 2008-01-15 |
| Find all providers in zip 30157 | ||||
| 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 |
|---|---|---|---|---|
| 1053924852 | Sandra Renee Scott-roberts | Community Health Worker | 8032 Megan Way, Dallas, TX 75232-6625 | 2020-08-31 |
| 1063070845 | Sitembinkosi Badza | Community Health Worker | 4750 Pear Ridge Dr Apt 18206, Dallas, TX 75287-4226 | 2019-06-05 |
| 1942723853 | Dominique King | Community Health Worker | 3625 Loganwood Dr, Dallas, TX 75227-5617 | 2017-07-23 |
| 1437600269 | Ngozi Tilley | Community Health Worker | 7539 Rice Lane, Dallas, TX 75241-0000 | 2016-10-17 |
| 1083063853 | Loretta Andrews Kidd | Community Health Worker | 3331 Navajo Pl, Dallas, TX 75224-3732 | 2016-06-12 |
| 1831580455 | Donesha Green | Community Health Worker | 4475 Trinity Mills Rd, #703523, Dallas, TX 75370-0010 | 2015-02-18 |
| 1700276797 | Ebony Ross | Community Health Worker | 3702 Frankford Rd, Apt 11306, Dallas, TX 75287-6390 | 2015-01-28 |
| 1598194680 | Darshunda Osioh | Community Health Worker | 7629 Ryanridge Dr, Dallas, TX 75232-4430 | 2013-11-08 |
| 1457659716 | Marketa Johnson | Community Health Worker | 3653 Timberglen Rd Apt 735, Dallas, TX 75287-3574 | 2011-03-09 |
| 1104120930 | Lucressa Assisted Living | Community Health Worker | 2314 S Ewing Ave, Dallas, TX 75216-2423 | 2011-01-10 |
| Find all providers in DALLAS | ||||
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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.