ELLISE JEANNETTE BOYD


Address: 455 Ruby St, Joliet, IL 60435-6202
Phone: 7085101287

ELLISE JEANNETTE BOYD (NPI# 1811543713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811543713
Entity Type Individual
Full Name ELLISE JEANNETTE BOYD
Credential MAED
Practice Address 455 Ruby St
Joliet
IL 60435-6202
Mailing Address 300 Ruby St
Joliet
IL 60435-6228
Practice Telephone 7085101287
Mailing Telephone 7085101287
Enumeration Date 2019-08-15
Last Update Date 2019-08-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker 549055 IL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL FAMILY AND PARENTING SUPPORT SERVICES 549055 01
IL CHILD CARE INSTITUTION 549055 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
300 Ruby St, Joliet, IL 604356228 7085101287

Office Location

Street Address 455 RUBY ST
City JOLIET
State IL
Zip Code 60435-6202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851889018 Chime Ajiere Nurse Practitioner 511 Theodore St, Joliet, IL 60435 2018-04-24
1740791284 Melanie Presnak Speech-Language Pathologist 1207 N Larkin Ave, Joliet, IL 60435 2017-10-23
1831618883 Jeriel Marsena Quarles Licensed Practical Nurse 1617 W Jefferson Street, Joliet, IL 60435 2017-09-11
1053769760 Cody Hutchinson Physical Therapy Assistant 2943 W Jefferson St, Joliet, IL 60435 2016-06-03
1659748549 Megan Ryab Massage Therapist 501 Wilcox St, Joliet, IL 60435 2015-08-26
1922416197 Kodo Care, Inc. Pharmacy 221 Springfield Avenue, Suite A, Joliet, IL 60435 2014-07-31
1528489739 My Family Doc LLC Family Medicine 2001-03 Essington Rd, Joliet, IL 60435 2013-12-16
1184973869 R A Lombardi Dds PC Dentist 3011 Theodore St., Joliet, IL 60435 2012-09-10
1245546076 Kelly Rae Lesemann Chiropractor 1011 Essington Road, Joliet, IL 60435 2010-08-31
1932413697 Ann E Todd Optometrist 1521 Essington Road, Everything In Sight, Joliet, IL 60435 2010-08-04
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

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/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033667001 Rebecca Caldwell Community Health Worker 1110 Foxview Dr, Joliet, IL 60431-8566 2016-09-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295352888 Marcus E. Windhom Sr. Community Health Worker 7736 S Kimbark Ave, Chicago, IL 60619-3429 2020-06-29
1003443417 Myrtle Rycraw Community Health Worker 4800 Southwick Dr Ste 300, Matteson, IL 60443-2235 2020-03-25
1669008157 Jonathan Brent Orth Community Health Worker 5118 N 1350th St, Watson, IL 62473-2271 2020-03-17
1912540659 Kelsi N Harre Community Health Worker 2603 N. Rogers Ave., Alton, IL 62002 2019-10-25
1669020459 Pamela J Wishecoby Community Health Worker 41 Cayman Dr, Montgomery, IL 60538-2703 2019-08-27
1346801610 Vas Networking Services Community Health Worker 6330 S King Drive Ave, Chicago, IL 60637-3115 2019-06-26
1417516618 John R Allen Community Health Worker 428 N Cass Ave, Westmont, IL 60559-1502 2019-06-11
1598322026 Diane Lakita Dotson Community Health Worker 9211so. Laflin, 2a, Chicago, IL 60620-6504 2019-05-21
1790253466 Dewanda Crochrell Community Health Worker 2116 Edison Ave, Granite City, IL 62040-4717 2018-11-11
1144728635 Brittany Glenn Community Health Worker 2407 Southwood Dr, Champaign, IL 61821-5416 2018-01-30
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Competitor

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City JOLIET
Zip Code 60435

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Dataset Information

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.

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