Jennifer Herrod
Individual provider Active NPI Community Health Worker · Salem, WV
NPI 1003409145 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1003409145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 4172 Buffalo Creek Rd
Salem, WV 26426-8135 - Phone
- (304) 641-7147
- NPI assigned
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
4172 Buffalo Creek Rd
Salem, WV 26426-8135
Mailing address
4172 Buffalo Creek Rd
Salem, WV 26426-8135
Other providers in Salem, WV
- Brittany Marie Hanshew
- Marla Annette Harman
- Angela Hayes
- Shasta D Hayhurst
- Patricia Heater
- Andrea Hill
- Terrence Hill
- Jimmie D Hissem
- Angel Renee Holt
- Ashley Hoover
All providers in Salem, WV · Community Health Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.