Amanda White
Individual provider Active NPI Personal Care Attendant · Matewan, WV
NPI 1053925966 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1053925966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 902 Route 49
Matewan, WV 25678-7837 - Phone
- (304) 426-4899
- NPI assigned
- Sep 8, 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
902 Route 49
Matewan, WV 25678-7837
Mailing address
PO Box 298
Matewan, WV 25678-0298
Phone (304) 426-4899
Other providers in Matewan, WV
- Andrea Joann Sturgill
- Destiny Paige Teeters
- Tera B Thacker
- Gwendolyn Joan Thornsbury
- Carley Toler
- Billie Sue Whitt
- Brittany Nicole Whitt
- Deborah Kay Williams
- Williamson Health & Wellness Center Inc
- Eric Scott Wonner
All providers in Matewan, 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 Jun 24, 2021. 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.