P Praxis·MD
● Active Type 1 · Individual

MR. Charles Perry Green

Community Health Worker·Kamiah, ID· NPI 1811266927 · Enumerated 2011 · 14 years on NPI
Green is 1 of 1 community health worker providers in Kamiah and 1 of 192 in Idaho.
NPI age
14 years
Enumerated 2011-12-19
Primary specialty
Community Health Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-12-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 192 active community health worker providers in Idaho.

NPI age
14 years
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-12Enumerated in NPPES
2011 2026

Where they practice

Practice location
3361 No Kid Rd
Kamiah, ID 835365002
📞 2085530284fax 2089352329
Mailing address
3361 No Kid Rd
Kamiah, ID 835365002
📞 2085530284fax 2089352329

Specialties

  • Community Health Worker Primary
    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,...
    ID license #003866467 taxonomy 172V00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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