DIKEESHEA WITHERSPOON (NPI# 1619518438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619518438 |
| Entity Type | Individual |
| Full Name | DIKEESHEA WITHERSPOON |
| Credential | CRM |
| Practice Address |
4941 Ne 17th Ave Portland OR 97211-5709 |
| Practice Telephone | 5032823296 |
| Practice Fax Number | 5032823290 |
| Mailing Telephone | 5032823296 |
| Mailing Fax Number | 5032823290 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| 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 |
4941 NE 17TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639475684 | Sabina Gay Trammell | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2011-02-08 |
| 1356895320 | Holly Lawry | Case Manager/Care Coordinator | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2016-08-08 |
| 1821441130 | Roxanne Davis | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2016-07-21 |
| 1336516392 | Lifeworks Northwest | Case Management | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2015-08-26 |
| 1508232786 | Chelsea Mier | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2015-08-11 |
| 1205225315 | Marissa Ekilah | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2015-01-13 |
| 1952707572 | Benjamin Patrick Thompson | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2014-11-10 |
| 1124427166 | Tesfaye Denbi | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2014-08-15 |
| 1356750533 | Angelisa Thompson | Social Worker | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2014-08-12 |
| 1487088092 | Lurlene Nafizah Shamsud-din | Marriage & Family Therapist | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2013-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| 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 |
|---|---|---|---|---|
| 1972118149 | Aurora Ayon Mendoza | Community Health Worker | 9225 Se Division St Unit C, Portland, OR 97266-1490 | 2020-09-14 |
| 1366066862 | Rhea Wolf | Community Health Worker | 18766 Se Stark St, Portland, OR 97233-5330 | 2020-06-01 |
| 1215413570 | Amy Beth Anderson | Community Health Worker | 3735 Se Sherman St, Portland, OR 97214-5855 | 2018-07-18 |
| 1740795111 | Paige Snow | Community Health Worker | 3846 Se 16th Ave, Portland, OR 97202-3829 | 2017-12-07 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1164969150 | Patricia Suzanne Magid-volk | Community Health Worker | 3842 Sw Nevada Ct, Portland, OR 97219-1513 | 2017-01-27 |
| 1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
| 1033565700 | Jean Rathfelder | Community Health Worker | 3802 Sw Caldew St, Portland, OR 97219-1527 | 2016-05-11 |
| 1366898074 | Marie Ann Coulson | Community Health Worker | 14988 Se Division St, Portland, OR 97236-2337 | 2016-05-11 |
| 1427449396 | James Jennings | Community Health Worker | 3705 Se Market St Apt 4, Portland, OR 97214-5156 | 2015-02-12 |
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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.