KELLY LANDRETH
Community Health Worker

Address: 4400 Ne Halsey St Bldg 2 Third Floor, Portland, OR 97213

KELLY LANDRETH (NPI# 1922696202) 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) 1922696202
Entity Type Individual
Full Name KELLY LANDRETH
Gender Female
Practice Address 4400 Ne Halsey St Bldg 2 Third Floor
Portland
OR 97213
Practice Telephone 5038936472
Mailing Address 2121 Nw Raleigh St Apt 647
Portland
OR 97210-2149
Mailing Telephone 5034211434
Certification Date 2021-01-04
Enumeration Date 2021-01-04
Last Update Date 2021-01-04
Is Sole Proprietor Y

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OR 172V00000X MEDICAID

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL kelly.landreth@providence.org (Work Email) 4400 Ne Halsey St Bldg 2 Third Floor, Portland, OR 972131545 Health Information Exchange (HIE) CSV

Office Location

Street Address 4400 NE HALSEY ST BLDG 2 THIRD FLOOR
City PORTLAND
State OR
Zip Code 97213

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1831715176 Darnell Jackie Strong Social Worker 435 Ne 78th Ave 'Strong Counseling Services', Portland, OR 97213 2020-06-23
1336775907 Redpoint Physical Therapy and Performance LLC Physical Therapist 4200 Ne Flanders St Unit B, Portland, OR 97213 2020-03-16
1801431218 Denise Dorgan-Miller Occupational Therapy Assistant Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 2019-11-08
1619435617 Aspiration of Character Counseling Services, LLC Counselor · Addiction (Substance Use Disorder) 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 2019-03-08
1578049631 Credena Health LLC Pharmacy · Community/Retail Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1023507795 Karissa Lynn Schwartz Speech-Language Pathologist Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 2018-05-08
1861944506 James Livingston Taylor Chiropractor 5212 Ne Sacremento St., Portland, OR 97213 2016-10-28
1962958520 Caitlin Turner Massage Therapist 4317 Ne Tillamook St., Portland, OR 97213 2016-09-01
1326407008 Julianna Vermeys Counselor · Professional 4605 Ne Fremont St., 209a, Portland, OR 97213 2016-02-23
1881059822 Thomas Michael Barrett Counselor · Mental Health 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 2015-12-17
Find all providers in zip 97213

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
1972118149 Aurora Ayon Mendoza 9225 Se Division St Unit C, Portland, OR 97266-1490 2020-09-14
1366066862 Rhea Wolf 18766 Se Stark St, Portland, OR 97233-5330 2020-06-01
1215413570 Amy Beth Anderson 3735 Se Sherman St, Portland, OR 97214-5855 2018-07-18
1740795111 Paige Snow 3846 Se 16th Ave, Portland, OR 97202-3829 2017-12-07
1285147918 Teresa Maalouf 23 Cambridge St., Portland, ME 04103 2017-11-16
1164969150 Patricia Suzanne Magid-Volk 3842 Sw Nevada Ct, Portland, OR 97219-1513 2017-01-27
1497103493 Ruby Diane Ciarlante · Ruby Diane Saxon 7803 N Portsmouth Ave, Portland, OR 97203 2016-05-31
1033565700 Jean Rathfelder 3802 Sw Caldew St, Portland, OR 97219-1527 2016-05-11
1366898074 Marie Ann Coulson 14988 Se Division St, Portland, OR 97236-2337 2016-05-11
1427449396 James Jennings 3705 Se Market St Apt 4, Portland, OR 97214-5156 2015-02-12
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97213

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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.