JACOB LYLE HERETH (NPI# 1598240947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598240947 |
| Entity Type | Individual |
| Full Name | JACOB LYLE HERETH |
| Practice Address |
4460 S Highland Dr Ste 300 Salt Lake City UT 84124-3562 |
| Mailing Address |
4460 S Highland Dr Salt Lake City UT 84124-3543 |
| Practice Telephone | 8889494864 |
| Mailing Telephone | 8889494864 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| 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 |
| Street Address |
4460 S HIGHLAND DR STE 300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134455538 | Crystal Gentry | Speech-Language Pathologist | 4460 S Highland Dr Ste 300, Salt Lake City, UT 84124-3562 | 2009-10-20 |
| 1487137923 | Debbie K Hofhines | Social Worker | 4460 S Highland Dr Ste 300, Salt Lake City, UT 84124-3562 | 2018-09-11 |
| 1780182683 | Valleyfit Clinic LLC | Clinic/Center | 4460 S Highland Dr Ste 300, Salt Lake City, UT 84124-3562 | 2018-01-25 |
| 1407220593 | Sara Hamman | Social Worker | 4460 S Highland Dr Ste 300, Salt Lake City, UT 84124-3562 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| 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 | 84124 |
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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.