Carrissa Dawn Hardbarger
Individual provider Active NPI Licensed Practical Nurse · Berea, WV
NPI 1063342012 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1063342012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 26595 (WV)
- Practice address
- 5181 Auburn Rd
Berea, WV 26327-7206 - Phone
- (304) 299-0778
- NPI assigned
- May 21, 2026
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 26595 | WV | Yes |
Addresses
Primary practice location
5181 Auburn Rd
Berea, WV 26327-7206
Mailing address
5181 Auburn Rd
Berea, WV 26327-7206
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. 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.