Jamie Lee Nitz
Individual provider Active NPI Personal Care Attendant · Mason, WV
NPI 1003418773 · NPPES record last updated Nov 9, 2020
Key facts
- NPI
- 1003418773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2366 2ND St
Mason, WV 25260-1273 - Phone
- (304) 593-9816
- NPI assigned
- Nov 9, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
2366 2ND St
Mason, WV 25260-1273
Mailing address
2366 2ND St
Mason, WV 25260-1273
Phone (304) 593-9816
Other providers in Mason, WV
- Beth Kearns
- Dakota Jean Laudermilt
- Wesley R Lieving
- Leanna Jean McCann
- Brandon Lee McGuire
- Ohio Valley Physicians Inc
- Ohio Valley Physicians Inc
- Dezra Pearson
- Pleasant Valley Hospital Inc
- Robert Reed
All providers in Mason, WV · Personal Care Attendant 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 Nov 9, 2020. 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.