Tera B Thacker
Individual provider Active NPI Home Health Aide · Matewan, WV
NPI 1023908662 · NPPES record last updated Jul 7, 2025
Key facts
- NPI
- 1023908662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 398 Sulphur Creek Rd
Matewan, WV 25678-7861 - Phone
- (304) 928-8418
- NPI assigned
- Jul 7, 2025
- Sex
- Unspecified or another gender identity
- 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
398 Sulphur Creek Rd
Matewan, WV 25678-7861
Mailing address
398 Sulphur Creek Rd
Matewan, WV 25678-7861
Other providers in Matewan, WV
- Michael Lee Runyons
- Stephanie Amber Savage
- Marsha Spears
- Andrea Joann Sturgill
- Destiny Paige Teeters
- Gwendolyn Joan Thornsbury
- Carley Toler
- Amanda White
- Billie Sue Whitt
- Brittany Nicole Whitt
All providers in Matewan, 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 Jul 7, 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.