NANCY DIANE GUSTAFSON (NPI# 1679059182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679059182 |
| Entity Type | Individual |
| Full Name | NANCY DIANE GUSTAFSON |
| Practice Address |
4890 32nd Ave Se Salem OR 97317-9350 |
| Practice Telephone | 5035885647 |
| Practice Fax Number | 5037791992 |
| Mailing Telephone | 5035885647 |
| Mailing Fax Number | 5037791992 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659425130 | Nancy Gustafson | Counselor | 1010 Gough St, San Francisco, CA 94109-7622 | 2007-01-22 |
| 1700852753 | Nancy P Gustafson | Nurse Anesthetist, Certified Registered | 600 Highland Ave, Madison, WI 53792-0001 | 2006-02-28 |
| Street Address |
4890 32ND AVE SE |
| City | SALEM |
| State | OR |
| Zip Code | 97317-9350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| 1205466018 | Jake Gongora | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2020-01-21 |
| 1114483773 | Michelle J Zamarron | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2019-02-19 |
| 1164904124 | Miguel Gonzalez | Counselor | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-09-05 |
| 1679051692 | Kylie Tamiko Gumban | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-08-01 |
| 1003392515 | Alan Keith Gustafson | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-17 |
| 1639665508 | Jaremy Calderon | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-07-03 |
| 1699267542 | Alyssa Hope Rice | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-06-05 |
| 1437641388 | Ellen Reece | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-06-05 |
| 1548750029 | Mariah Michaela Miller | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2018-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962932996 | Corinna Leona Zib | Counselor | 4726 Appaloosa Ct Se, Salem, OR 97317 | 2017-06-13 |
| 1639537889 | Nikole Stormo | Massage Therapist | 4675 Campbell Dr Se Apt267, Salem, OR 97317 | 2016-02-03 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1841410057 | Jennifer Krug | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317 | 2007-04-27 |
| 1649498262 | Carol Adams | Social Worker | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2007-04-20 |
| 1992114490 | Pathways - Child and Family Services - LLC | Community/Behavioral Health | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2014-08-08 |
| 1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1689086530 | Ruben Chekhov | Dental Hygienist | 4932 Turquoise Ave Se, Salem, OR 97317-4109 | 2014-05-27 |
| 1285636464 | Marion County Fire District No 1 | Ambulance | 300 Cordon Rd Ne, Salem, OR 97317-5203 | 2005-06-01 |
| Find all providers in zip 97317 | ||||
| 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 |
|---|---|---|---|---|
| 1679117022 | Juana Laura Damian Damian | Community Health Worker | 4373 Satter Pl Ne, Salem, OR 97305-4107 | 2019-10-29 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1952826661 | Tracy Lopez-mendoza | Community Health Worker | 3180 Center St Ne Ste 1360, Salem, OR 97301-4532 | 2017-08-03 |
| 1770024283 | Laura Pacheco | Community Health Worker | 29 Albion St, Salem, MA 01970-1303 | 2017-03-16 |
| 1427407501 | Stephanie Gibson | Community Health Worker | 600b N Lake Dr, Salem, SC 29676-2406 | 2016-06-08 |
| 1255788683 | Roxanne Mcanally | Community Health Worker | 980 Terrace Dr Nw, Salem, OR 97304-3726 | 2016-05-16 |
| 1598127532 | Paula Marie Rowe | Community Health Worker | 4001 12th St Cutoff Se, Apt 11, Salem, OR 97302-1770 | 2016-03-28 |
| 1831557446 | Antonio J Cervantes | Community Health Worker | 3998 Nestor Ln Ne, Salem, OR 97305-3922 | 2016-02-10 |
| 1861859449 | Jenny Abarca | Community Health Worker | 9 Sable Rd, Salem, MA 01970-1015 | 2016-01-27 |
| 1134585540 | Nikolay Shalashov | Community Health Worker | 4485 Great Plains Dr Ne, Salem, OR 97305-3681 | 2016-01-14 |
| Find all providers in SALEM | ||||
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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.