Mary Davis
Individual provider Active NPI Personal Care Attendant · West Union, WV
NPI 1033711569 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1033711569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 417 W Main St
West Union, WV 26456-1127 - Phone
- (304) 873-2061
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- 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
417 W Main St
West Union, WV 26456-1127
Mailing address
PO Box 432
West Union, WV 26456-0432
NPI Registry JSON
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1033711569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "WEST UNION",
"state": "WV",
"postal_code": "264560432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W MAIN ST",
"city": "WEST UNION",
"state": "WV",
"postal_code": "264561127",
"telephone_number": "304-873-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Union, WV
- Melissa Cork
- Patsy Cork
- Robert Cottrill
- Carrie Jo Curran
- Michelle Curtis
- Kyrie Demoss
- Chandra Dee Diebold
- Doddridge Co Senior Citizen
- Doddridge Co Senior Citizen
- Doddridge Co Senior Citizens
All providers in West Union, 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 10, 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.