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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORA C GIST

Active Sole Proprietor

THEODORA C GIST is a Community Health Worker healthcare provider located in DETROIT, Michigan. NPI 1184503401 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · DETROIT, MI

Registration Details

NPI Number
1184503401
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2025 (0.7775801430866 yrs)
Last Updated
Aug 29, 2025
Sole Proprietor
Yes

Practice Information

Address
5555 CONNER ST
DETROIT, MI, 482133448
Browse MI providers · Browse ZIP 48213
Phone
3136873633
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in DETROIT, MI

Name Credential NPI
MS. FLORENSHIA JACKSON CHW 1548386881
EVALYN MARIE LESTER-ROACHE 1568635902
MS. ERICKA GABRIELLE PAGE M.A., CPC 1083852172
MR. KEVIN CHRISTOPHER KROUSE I CADC-II, DOT/SAP 1184863730
MS. SHARON MARIE DANNARD OTR 1710112891
DENINA WILFORD 1548598832
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.