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.

MICHELLE RASBERRY

Technician

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 559-2365

TRACI LYNN CROSSKNO

Licensed Practical Nurse

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 559-2365

FAMILY COUNSELING CENTER, INC.

Clinic/Center

(Primary Care)

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 559-2365

FAMILY COUNSELING CENTER, INC.

Clinic/Center

(Rural Health)

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 888-5925

DEZZIRAEE N NIXON LPN

Licensed Practical Nurse

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 559-2365

BRITTANI DAWN BROWN

Nurse's Aide

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 559-2365

FCC MEDICAL CLINICS LLC

Clinic/Center

(Rural Health)

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 559-2365

FCC MEDICAL CLINICS LLC

Clinic/Center

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 559-2365

DR. KARL ERIK SHANSTROM DO

Family Medicine

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 559-2365

AMANDA RENEA STATLER

Licensed Practical Nurse

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 559-2365

WHITNEY JO BRADFORD APRN

Nurse Practitioner

(Family)

900 STATE ROUTE VV
KENNETT, MO
ZIP 63857

(573) 559-2365

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215764923, enumerated 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.

Community Health Worker with taxonomy code 172V00000X.