What is Tearra Dates's NPI number?

Tearra Dates's National Provider Identifier (NPI) is 1104508837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tearra Dates's specialty?

Tearra Dates is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Tearra Dates located?

Tearra Dates's practice location on file with NPPES is 869 Moyer Ave, Youngstown, OH 44512-2439.

What is Tearra Dates's phone number?

The practice phone number listed in the NPPES registry for Tearra Dates is (330) 787-5855.

Is Tearra Dates's NPI active?

Yes — Tearra Dates's NPI (1104508837) is active in the NPPES registry as of the last update on 2023-08-03.

IndividualActive

Tearra Dates, ETC

NPI 1104508837 · Community Health Worker · Youngstown, OH

Tearra Dates, ETC is a Community Health Worker provider in Youngstown, OH (NPI 1104508837).

Provider details

NPI number: 1104508837
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Credential: ETC
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

869 Moyer Ave

Youngstown, OH 44512-2439

Phone: (330) 787-5855

Street-level locationGet directions

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Mailing address