KYLE AUSTIN DAUGHERTY
NPI 1215764923
Community Health Worker in Kennett, MO

NPI Status: Active since September 17, 2024

Contact Information

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857
Phone: (573) 559-2365

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  • Individual
  • Male
  • Community Health Worker

About KYLE DAUGHERTY

This page provides the complete NPI Profile along with additional information for Kyle Daugherty, a provider established in Kennett, Missouri with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1215764923 assigned on September 2024. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1215764923
Provider Name
KYLE AUSTIN DAUGHERTY
Gender
Male
Entity Type
Individual
Location Address
900 STATE ROUTE VV KENNETT, MO 63857
Location Phone
(573) 559-2365
Mailing Address
900 STATE ROUTE VV KENNETT, MO 63857
Mailing Phone
(573) 559-2365
Is Sole Proprietor?
No
Enumeration Date
09-17-2024
Last Update Date
09-17-2024
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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
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.
1215764923
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225146894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 4 + 6 + 8 + 9 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1215764923 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114581485 MICHELLE RASBERRY
Individual
Technician900 STATE ROUTE VV
KENNETT, MO 63857
(573) 559-2365
1720642606 TRACI LYNN CROSSKNO
Individual
Licensed Practical Nurse900 STATE ROUTE VV
KENNETT, MO 63857
(573) 559-2365
1376030874FAMILY COUNSELING CENTER, INC.
Organization
Clinic/Center (Primary Care)900 STATE ROUTE VV
KENNETT, MO 63857
(573) 559-2365
1386101467FAMILY COUNSELING CENTER, INC.
Organization
Clinic/Center (Rural Health)900 STATE ROUTE VV
KENNETT, MO 63857
(573) 888-5925
1194364463 DEZZIRAEE N NIXON LPN
Individual
Licensed Practical Nurse900 STATE ROUTE VV
KENNETT, MO 63857
(573) 559-2365
1144837188 BRITTANI DAWN BROWN
Individual
Nurse's Aide900 STATE ROUTE VV
KENNETT, MO 63857
(573) 559-2365
1043885254FCC MEDICAL CLINICS LLC
Organization
Clinic/Center (Rural Health)900 STATE ROUTE VV
KENNETT, MO 63857
(573) 559-2365
1063081263FCC MEDICAL CLINICS LLC
Organization
Clinic/Center900 STATE ROUTE VV
KENNETT, MO 63857
(573) 559-2365
1689815201DR. KARL ERIK SHANSTROM DO
Individual
Family Medicine900 STATE ROUTE VV
KENNETT, MO 63857
(573) 559-2365
1164111613 AMANDA RENEA STATLER
Individual
Licensed Practical Nurse900 STATE ROUTE VV
KENNETT, MO 63857
(573) 559-2365
1346736873 WHITNEY JO BRADFORD APRN
Individual
Nurse Practitioner (Family)900 STATE ROUTE VV
KENNETT, MO 63857
(573) 559-2365

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215764923, enumerated in the NPI registry as an "individual" on September 17, 2024

The provider is located at 900 State Route Vv Kennett, Mo 63857 and the phone number is (573) 559-2365

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

This NPI record was last updated on September 17, 2024. 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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