Connie Marie Nieman

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1562 Clifton Salem Rd
Bruceton Mills, WV 26525-6400

Phone

(304) 291-9066

NPI assigned

Nov 2, 2020

Last updated

Nov 2, 2020By the provider in NPPES

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

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.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1053912501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 CLIFTON SALEM RD",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265256400",
            "telephone_number": "304-291-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 CLIFTON SALEM RD",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265256400",
            "telephone_number": "304-291-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMAN",
        "first_name": "CONNIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Louis Motti Jr.
• Allison R Moyers
• Julia Murphy, INTERPRETER
• Marquela Elisia Nastri
• Erica Lucinda Nestor
• Scott Reo Okubo, DDS
• Julie Olinger
• Matthew Powell
• Practitioner - Bjarni Thomas Aprn, LLC
• David Reckart

• Personal Care Attendant in Bruceton Mills, WV
• Providers in Bruceton Mills, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.