Carolee Cecil

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

73559 Issued in WV

Practice address

411 N State Route 2
New Martinsville, WV 26155-2711

Phone

(304) 771-4756

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wetzel County Homecare, LLC

  • Home Health Agency
  • New Martinsville, WV
  • NPI 1497959944
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1003538232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MAPLE AVE",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551420",
            "telephone_number": "304-771-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N STATE ROUTE 2",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552711",
            "telephone_number": "304-771-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "CAROLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "WV",
            "license": "73559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop/tablet",
            "affiliation": "N",
            "address_1": "411 N State Route 2",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Calderon Cabral
• Debra K Campbell
• James Stewart Campbell, O.D.
• Shana Campbell, PHARM.D.
• Haylee Rae Carothers
• Subramaniyam Chandrasekhar, MD
• Kelby R. Church, PT, DPT, OCS, ATC
• Tammy Marie Church, PRSS
• Harriet Edna Clark
• Kari K Clark

• Administrator Registered Nurse in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Administrator Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.