EDWARD EARL ANDERSON JR. (NPI# 1538775309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538775309 |
| Entity Type | Individual |
| Full Name | EDWARD EARL ANDERSON JR. |
| Practice Address |
64 Poydras St Hyde Park MA 02136-6419 |
| Practice Telephone | 6176371478 |
| Mailing Telephone | 6176371478 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699886457 | Edward Andrew Anderson | Dentist | 302 2nd Ave Sw, Jamestown, ND 58401-4157 | 2006-08-31 |
| 1366445462 | Edward Anderson | Podiatrist | 411 Letcher St, Henderson, KY 42420-4245 | 2005-05-23 |
| 1447864673 | Edward Anderson | Licensed Practical Nurse | 2470 Mall Dr, N.charleston, SC 29406 | 2020-09-04 |
| 1043596026 | Edward Anderson | Pharmacist | 22303 Mountain Hwy E, Spanaway, WA 98387-7529 | 2011-10-22 |
| 1942592498 | Edward Jermaine Anderson | Physical Therapist | 33600 W 85th St, De Soto, KS 66018-8118 | 2011-05-03 |
| 1053561365 | Edward J Anderson | Case Manager/Care Coordinator | 32 Conrad Dr, Jackson, TN 38305-2801 | 2008-09-23 |
| 1750561577 | Edward Anderson | Counselor | 5755 North Point Parkway, Suite 90, Alpharetta, GA 30022 | 2007-11-08 |
| 1740493568 | Edward Charles Anderson | Chiropractor | 19 Franklin St, Cambridge, MD 21613-1916 | 2007-05-08 |
| 1508998931 | Edward D Anderson | Physical Therapist | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2007-03-12 |
| 1700911328 | Edward Scott Anderson | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2007-02-22 |
| Street Address |
64 POYDRAS ST |
| City | HYDE PARK |
| State | MA |
| Zip Code | 02136-6419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952892564 | Dionne Latrice | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-21 |
| 1134622426 | Light House Behavioral Health and Wellness Center Inc. | Community/Behavioral Health | 1 Westinghouse Plaza, A-216, Boston, MA 02136 | 2018-03-13 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1891051074 | Marie Ronique Yilain | Licensed Practical Nurse | 59 Cromwell Rd, Hyde Park, MA 02136 | 2012-04-02 |
| 1033410543 | Stephanie Sabrina Seigle | Counselor | 5 Linden Ave, Hyde Park, MA 02136 | 2010-11-15 |
| 1699075747 | Jeffrey Meisner | Physical Therapist | 188 Providence Street, Boston Pain Clinic, Hyde Park, MA 02136 | 2010-10-22 |
| 1356593743 | Supplemantal Health Care Services | Residential Treatment Facility, Physical Disabilities | 731 Truman Hwy, Hyde Park, MA 02136 | 2008-10-16 |
| 1407023047 | Amy Elizabeth Delaney | Nurse Practitioner | 695 Truman Parkway, Suite 203, Hyde Park Pediatrics, Hyde Park, MA 02136 | 2008-05-13 |
| 1629254263 | Alla Urman | Nurse Practitioner | 1274 Hyde Park Ave, Hyde Park, MA 02136 | 2008-01-14 |
| 1912106980 | Marina Williams | Counselor | 1158 Hyde Park Ave, Hyde Park, MA 02136 | 2007-07-11 |
| Find all providers in zip 02136 | ||||
| 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 |
|---|---|---|---|---|
| 1154929263 | Taylor Marston | Community Health Worker | 56 Cherry St # 3, Brockton, MA 02301-2608 | 2020-10-12 |
| 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 |
| 1407323629 | Stephen Aaron James | Community Health Worker | 29 Laurel St Apt 9, Worcester, MA 01608-1033 | 2018-10-25 |
| 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.