WILLIAM WACKOCKI (NPI# 1487977898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487977898 |
| Entity Type | Individual |
| Full Name | WILLIAM WACKOCKI |
| Practice Address |
2720 San Pedro Dr Ne Albuquerque NM 87110-3333 |
| Practice Telephone | 5052657936 |
| Practice Fax Number | 5052659685 |
| Mailing Telephone | 5052657936 |
| Mailing Fax Number | 5052659685 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | D3124 | 05 |
| Street Address |
2720 SAN PEDRO DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184838104 | Community Options, Inc | Case Management | 2720 San Pedro Dr Ne, Albuquerque, NM 87110-3333 | 2007-05-09 |
| 1508184110 | Joshua D Williamson | Community Health Worker | 2720 San Pedro Dr Ne, Albuquerque, NM 87110-3333 | 2010-05-06 |
| 1649593054 | Heather Lynn Gooch | Community Health Worker | 2720 San Pedro Dr Ne, Albuquerque, Albuquerque, NM 87110-3333 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| 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 |
|---|---|---|---|---|
| 1114548872 | Ellaf Sabah Altamimi | Community Health Worker | 3115 Loma Pedregosa Nw, Albuquerque, NM 87120-1582 | 2020-05-04 |
| 1407477243 | Patrick Trujillo | Community Health Worker | 1650 University Blvd Ne # 3300, Albuquerque, NM 87102-1726 | 2020-05-04 |
| 1982060315 | David Fisher | Community Health Worker | 819 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2016-01-14 |
| 1871987255 | Bonnie Graston | Community Health Worker | 10511 Golf Course Rd Nw Ste 101, Albuquerque, NM 87114-5917 | 2015-03-24 |
| 1790100618 | Carl Dellinger | Community Health Worker | 3605 Britt St Ne, Albuquerque, NM 87111-4919 | 2014-02-28 |
| 1467876201 | Deborah Nixon | Community Health Worker | 3616 Westerfeld Dr Ne, Albuquerque, NM 87111-4769 | 2014-02-14 |
| 1174869143 | Inspired Birth and Families | Community Health Worker | 3916 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4500 | 2012-12-19 |
| 1881976249 | Rebecca Dawn Daigneault | Community Health Worker | 2340 Alamo Ave Se, Suite 123, Albuquerque, NM 87106-3820 | 2011-09-12 |
| 1518278308 | Keisha Streetz | Community Health Worker | 5310 Sequoia Road Nw, Albuquerque, NM 87120 | 2010-06-25 |
| 1194040345 | Anita Delprete | Community Health Worker | 1111 Menaul Blvd. Ne, Albuquerque, NM 87107 | 2010-03-31 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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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.