Angel Lavonna Proctor

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

524 Water Tank Hill
Sophia, WV 25921-0333

Phone

(304) 890-7326

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By 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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1114519311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "SOPHIA",
            "state": "WV",
            "postal_code": "259210333",
            "telephone_number": "304-890-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 WATER TANK HILL",
            "city": "SOPHIA",
            "state": "WV",
            "postal_code": "259210333",
            "telephone_number": "304-890-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "ANGEL",
        "middle_name": "LAVONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Aguas Munoz, PTA
• Jennifer Myers, PTA
• New River Health Association, Inc. (Gulf Family Practice Pharmacy)
• New River Health Association, Inc. (New River Health - Sophia)
• New River Health Association, Inc. (New River Health Lester Square)
• Sondra Ray
• Roger D. Clay, D.D.S.,Inc
• Terri L. Schuetz, ANP-BC
• Goldie Shrewsbury
• Amanda Dawn Simms

• Personal Care Attendant in Sophia, WV
• Providers in Sophia, 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 Feb 9, 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.