Tyra Worthy
Individual provider Active NPI Home Health Aide · Levels, WV
NPI 1003700683 · NPPES record last updated Jun 6, 2025
Key facts
- NPI
- 1003700683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 12256 Jersey Mountain Rd
Levels, WV 25431-4508 - Phone
- (304) 492-4013
- NPI assigned
- Jun 6, 2025
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
12256 Jersey Mountain Rd
Levels, WV 25431-4508
Mailing address
PO Box 469
Romney, WV 26757-0469
Other providers in Levels, WV
All providers in Levels, WV · Home Health Aide 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 Jun 6, 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.