ETHAN PRUSSE
NPI 1023905924
Community Health Worker in Tooele, UT

NPI Status: Active since June 23, 2025

Contact Information

100 S 1000 W
TOOELE, UT
ZIP 84074
Phone: (888) 949-4864

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  • Individual
  • Male
  • Community Health Worker

About ETHAN PRUSSE

This page provides the complete NPI Profile along with additional information for Ethan Prusse, a provider established in Tooele, Utah with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1023905924 assigned on June 2025. The practitioner's primary taxonomy code is 172V00000X with license number 0 (UT). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1023905924
Provider Name
ETHAN PRUSSE
Gender
Male
Entity Type
Individual
Location Address
100 S 1000 W TOOELE, UT 84074
Location Phone
(888) 949-4864
Mailing Address
3725 W 4100 S STE 201 WEST VALLEY CITY, UT 84120
Is Sole Proprietor?
No
Enumeration Date
06-23-2025
Last Update Date
06-23-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
License No.
0
License State
UT
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023905924
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20431801094
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 8 + 0 + 1 + 0 + 9 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1023905924 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356327084MR. DOUGLAS PAUL THOMAS LCSW
Individual
Social Worker (Clinical)100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1982674495MR. JOHN PATRICK BYRNE LCSW
Individual
Social Worker (Clinical)100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1689645343MS. DEBRA A ROBERTS LPC
Individual
Counselor (Professional)100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1891766416MRS. CHRISTINE LEE SMITH R.N.
Individual
Registered Nurse (Home Health)100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1770554289MR. MARK JIM SHELTON LCSW
Individual
Social Worker (Clinical)100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1649236175VALLEY MENTAL HEALTH INCORPORATED
Organization
Psychiatry & Neurology (Psychiatry)100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1346434248 GAYLE CONLON RN
Individual
Registered Nurse100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1437329349MRS. TRACY E SCHAFFER R.N.
Individual
Registered Nurse100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1780982611 PRISCILLA JANE BARKER CM
Individual
Case Manager/Care Coordinator100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1447558465MR. MICHAEL ALAN HICKS CM
Individual
Case Manager/Care Coordinator100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1356649370MR. BARRY VERN PITT
Individual
Counselor100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1568760395MRS. JULIE WHEAR SPINDLER
Individual
Counselor100 S 1000 W
TOOELE, UT 84074
(435) 843-3538
1477851202MS. LORETTA LOPEZ NORMAND
Individual
Counselor100 S 1000 W
TOOELE, UT 84074
(435) 843-3537
1376841106MR. BOBBY JOE MAIN JR.
Individual
Counselor100 S 1000 W
TOOELE, UT 84074
(435) 843-3554
1952609646 SAMANTHA MARIE VINCENT
Individual
Case Manager/Care Coordinator100 S 1000 W
TOOELE, UT 84074
(801) 263-7100
1023316577MS. MICHELLE ELIZABETH KINDER SSW
Individual
Counselor (Mental Health)100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1669764668 MICHAEL SPENCER NEIL
Individual
Counselor100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1487938551 NICOLLE M TENNANT-NICHOLAS
Individual
Case Manager/Care Coordinator100 S 1000 W
TOOELE, UT 84074
(435) 843-3520
1932466687 ADRIANE NEILSON WARR SSW
Individual
Counselor (Mental Health)100 S 1000 W
TOOELE, UT 84074
(435) 843-3520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023905924, enumerated in the NPI registry as an "individual" on June 23, 2025

The provider is located at 100 S 1000 W Tooele, Ut 84074 and the phone number is (888) 949-4864

The provider's speciality is Community Health Worker with taxonomy code 172V00000X

This NPI record was last updated on June 23, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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