Individual provider · Type 1 NPI

Misty Shantae Lott

Community Health Worker · Idaho Falls, ID

NPI number 1679416952 Active

Practice location

2265 W Broadway St
Idaho Falls, ID 83402-2996

Call (208) 524-7400 Map

Fax (208) 524-8004

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 1679416952

Misty Shantae Lott's National Provider Identifier is 1679416952, issued on Apr 13, 2026. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 13, 2026.