IndividualActive
Alexis Johnson, CCHW
NPI 1972474625 · Community Health Worker · Providence, RI
Provider details
- NPI number
- 1972474625
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- CCHW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 201958 (RI)
Specialties & taxonomies
Other Service Providers
Practice location
12 Crandall St
Providence, RI 02908-1304
Phone: (401) 644-1181
Approximate (ZIP-level) locationGet directions
Mailing address
12 Crandall St
Providence, RI 02908-1304
Registry dates
- Enumerated
- 2025-09-16
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.