DAVID UNDERWOOD PEER SPECIALIST
NPI 1194011551
Community Health Worker in Evanston, WY

NPI Status: Active since June 23, 2011

Contact Information

1565 HWY 150 S. STE. C
EVANSTON, WY
ZIP 82930
Phone: (307) 789-4224
Fax: (307) 789-4225

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  • Individual
  • Male
  • Community Health Worker

About DAVID UNDERWOOD

This page provides the complete NPI Profile along with additional information for David Underwood, a provider established in Evanston, Wyoming with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1194011551 assigned on June 2011. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1194011551
Provider Name
DAVID UNDERWOOD PEER SPECIALIST
Gender
Male
Entity Type
Individual
Location Address
1565 HWY 150 S. STE. C EVANSTON, WY 82930
Location Phone
(307) 789-4224
Location Fax
(307) 789-4225
Mailing Address
PO BOX 2910 EVANSTON, WY 82930
Mailing Phone
(307) 789-4224
Mailing Fax
(307) 789-4225
Is Sole Proprietor?
No
Enumeration Date
06-23-2011
Last Update Date
02-06-2013
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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 State
WY
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1172V00000XOther Service Providers

Community Health Worker

 

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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.
1194011551
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184012510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 0 + 1 + 2 + 5 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1194011551 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194011551, enumerated in the NPI registry as an "individual" on June 23, 2011

The provider is located at 1565 Hwy 150 S. Ste. C Evanston, Wy 82930 and the phone number is (307) 789-4224

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

This NPI record was last updated on June 23, 2011. 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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