JACKIE EZELL (NPI# 1801201314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801201314 |
| Entity Type | Organization |
| Organization Name | JACKIE EZELL |
| Practice Address |
516 Griffith St Unit 401 Youngstown OH 44510-2604 |
| Practice Telephone | 3307875754 |
| Mailing Telephone | 3307875754 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | JACKIE DENESE EZELL (INDEPENDENT PROVIDER) |
| Authorized Official Telephone | 330787575431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2858760 | 05 |
| Street Address |
516 GRIFFITH ST UNIT 401 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44510-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889457 | Abolfazl Sodagar | Internal Medicine | 1001 Covington Street, Youngstown, OH 44510 | 2018-01-28 |
| 1285298422 | Kabir Kunwar | Internal Medicine | 1001 Covington Ave, Youngstown, OH 44510 | 2019-04-23 |
| 1861978603 | Fatemeh Dehghan Manshadi | Counselor | 611 Belmont Avenue, Youngstown, OH 44510 | 2018-07-16 |
| 1952780256 | Stephen Dominic Pupillo | Internal Medicine | 1001 Covington St, Youngstown, OH 44510 | 2015-05-20 |
| 1588005946 | Lisa J Cascarelli | Registered Nurse | 1001 Covington St, Youngstown, OH 44510 | 2013-07-15 |
| 1891041141 | Lillianne Stanitsas | Surgery | 1001 Covington St, Youngstown, OH 44510 | 2012-07-24 |
| 1356361075 | Fred R Pruitt | Internal Medicine | 550 Parmalee Ave, Suite 310, Youngstown, OH 44510 | 2006-07-19 |
| 1912900341 | Scientific Medical Imaging, Inc. | Specialist | 540 Parmalee Ave, Suite 100, Youngstown, OH 44510 | 2005-05-31 |
| 1972128130 | Destiny Frost | Home Health Aide | 2749 Hammaker St, Youngstown, OH 44510-1037 | 2020-06-13 |
| 1225638547 | Sharell Shanta Williams | Nurse's Aide | 1102 Norwood Ave, Youngstown, OH 44510-1104 | 2020-10-27 |
| Find all providers in zip 44510 | ||||
| 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 |
|---|---|---|---|---|
| 1619352572 | Michelle Triplett | Community Health Worker | 557 E Boston Ave, Youngstown, OH 44502-2418 | 2015-07-21 |
| 1992186431 | Melissa Collinsworth | Community Health Worker | 211 Carnegie Ave, Youngstown, OH 44515-2805 | 2015-06-10 |
| 1679962971 | Alecia Defrank | Community Health Worker | 707 Wilkinson Ave, Youngstown, OH 44509-2152 | 2015-01-10 |
| 1356756811 | Rolanda Ola Tucker | Community Health Worker | 119 Manchester Ave, Youngstown, OH 44509-4450 | 2014-06-24 |
| 1417296922 | Melvy Jean Stroughn | Community Health Worker | 6033 Applecrest Ct Apt 23, Youngstown, OH 44512-3174 | 2013-02-04 |
| 1316294184 | 2nd II None of Ohio Inc. | Community Health Worker | 2011 S Heights Ave, Youngstown, OH 44502-2949 | 2012-08-10 |
| 1891014577 | Brenetta Marie Geddis | Community Health Worker | 247 Ayers St, Youngstown, OH 44506-1529 | 2010-05-20 |
| 1497391320 | Julius Williams | Community Health Worker | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2019-11-26 |
| 1740824150 | Tia Watson | Community Health Worker | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2019-10-30 |
| 1225672587 | Mark Herron | Community Health Worker | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2019-10-30 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44510 |
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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.