Individual provider · Type 1 NPI

Theodora C. Gist

Community Health Worker · Detroit, MI

NPI number 1184503401 Active

Practice location

5555 Conner St
Detroit, MI 48213-3448

Call (313) 687-3633 Map

Mailing address

8900 E Jefferson Ave Apt 215
Detroit, MI 48214-2890

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000XNone listed

Community Health Worker: 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(…

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About NPI 1184503401

Theodora C. Gist's National Provider Identifier is 1184503401, issued on Aug 29, 2025. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Detroit, MI. The record was last updated on Aug 29, 2025.