Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Tillett

Individual provider Community Health Worker · NPI 1528864527

Theresa Tillett is a Community Health Worker in Santa Rosa, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1120 Gordon Ln
Santa Rosa, CA 95404-5636
Phone: (415) 376-2310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1528864527
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedFebruary 20, 2025
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025

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