IndividualActive
Phoenix Maikoski
NPI 1316706674 · Community Health Worker · Kalamazoo, MI
Provider details
- NPI number
- 1316706674
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(50/100 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
1500 Lamont Ave
Kalamazoo, MI 49048-4156
Phone: (269) 385-6128
Street-level locationGet directions
Mailing address
4288 Escape Dr Apt 102c
Kalamazoo, MI 49006-6761
Registry dates
- Enumerated
- 2024-03-18
- Last updated
- 2024-03-18
- Certified
- 2024-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.