Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATRINA MIXSON
ActiveKATRINA MIXSON is a Community Health Worker healthcare provider located in MATTESON, Illinois. NPI 1275160673 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · MATTESON, IL
Registration Details
- NPI Number
- 1275160673
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 25, 2020 (6.3983883851561 yrs)
- Last Updated
- Mar 25, 2020
Practice Information
- Address
-
4801 SOUTHWICK DR STE 300MATTESON, IL, 604432279Browse IL providers · Browse ZIP 60443
- Phone
- 3127726327
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in MATTESON, IL
| Name | Credential | NPI |
|---|---|---|
| MS. LINDA FLEMING | — | 1760654222 |
| MYRTLE RYCRAW | — | 1003443417 |
| DERRICK JACKSON | — | 1578261475 |
| PORSCHE ROBERSON | — | 1083312987 |
| BRIONNA WILLIAMS | — | 1851099766 |
| BRANDON ROBINSON | — | 1497453310 |
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.