Ethel Cole

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

253 E Whitby Rd
Shady Spring, WV 25918-8637

Phone

(681) 222-4496

NPI assigned

Feb 19, 2021

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1114510104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 E WHITBY RD",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 E WHITBY RD",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188637",
            "telephone_number": "681-222-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "ETHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C Jeff Clay, D.D.S. Inc.
• Shyann Louise Callaway
• Gregory Wayne Castle
• Tonia Sue Castle
• Clay and Hiener Dentistry Partnership (Shady Spring Dental Care)
• Community Health Systems Inc (AccessHealth)
• Community Health Systems Inc (AccessHealth School Based Shady Spring Elementary School)
• Community Health Systems Inc. (AccessHealth Shady Spring High School-Based Clinic)
• Carma Concepcion
• Charlotte Cox

• Community Health Worker in Shady Spring, WV
• Providers in Shady Spring, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.