Connie Muncy

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2862 Bulger Rd
Alkol, WV 25501-9682

Phone

(304) 786-0882

NPI assigned

May 16, 2025

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2025.

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1013708080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2862 BULGER RD",
            "city": "ALKOL",
            "state": "WV",
            "postal_code": "255019682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2862 BULGER RD",
            "city": "ALKOL",
            "state": "WV",
            "postal_code": "255019682",
            "telephone_number": "304-786-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCY",
        "first_name": "CONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln County Primary Care Center, Inc.
• Jordan Nichole Little
• Katelyn Arizona Mallory
• Sandra Marie Mallory
• Elizabeth McCormick
• Connie Roberts
• Janie Smith
• Tammy L Smith
• Linda Louise Vickers

• All providers in Alkol, WV
• Home Health Aide in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.