MR. MARK E PETTIS (NPI# 1982884524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982884524 |
| Entity Type | Individual |
| Full Name | MR. MARK E PETTIS |
| Credential | PTA |
| Practice Address |
203 Stanley Ct La Porte IN 46350-4159 |
| Practice Telephone | 2193622744 |
| Mailing Telephone | 2193622744 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2008-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | 06003247A | IN | Other Service Providers |
| Street Address |
203 STANLEY CT |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| 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 |
|---|---|---|---|---|
| 1336755610 | Shanta Brunson | Community Health Worker | 601 S Lake St, Gary, IN 46403-2937 | 2020-09-22 |
| 1417592981 | Michiana Home Services, Inc. | Community Health Worker | 3120 N Home St Ste B, Mishawaka, IN 46545-4438 | 2019-11-08 |
| 1043864994 | Ray Charles Lay | Community Health Worker | 3414 Lauren Dr, Indianapolis, IN 46235-7210 | 2019-07-30 |
| 1861044018 | Charise Downs | Community Health Worker | 10026 E 21st St Ste 21, Indianapolis, IN 46229-1802 | 2019-07-09 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1710471503 | Alicia Stout | Community Health Worker | 5445 W Southport Rd, Indianapolis, IN 46221-9699 | 2018-06-15 |
| 1477903532 | Mauriah Galloway | Community Health Worker | 7615 Placer Run, Fort Wayne, IN 46815-8256 | 2016-06-20 |
| 1184071235 | Deann Beretta Day | Community Health Worker | 6448 Park Central Way Apt D, Indianapolis, IN 46260-4525 | 2016-05-18 |
| 1962857474 | Erin Clampitt | Community Health Worker | 2101 Gerrard Ave, Speedway, IN 46224-5086 | 2016-05-03 |
| 1962856104 | Jordan Tyler Lakes | Community Health Worker | 9190 Priority Way West Dr, Indianapolis, IN 46240-6426 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
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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.