Darlene Springer

Individual provider Active NPI Personal Care Attendant · Falling Waters, WV

NPI 1114522679 · NPPES record last updated Dec 2, 2020

Key facts

NPI
1114522679
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
135 Mustang Dr
Falling Waters, WV 25419-3829
Phone
(304) 274-0968
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

135 Mustang Dr
Falling Waters, WV 25419-3829

Mailing address

2468 Rock Cliff Dr
Martinsburg, WV 25403-5062

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2020.

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1114522679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 ROCK CLIFF DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254035062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MUSTANG DR",
            "city": "FALLING WATERS",
            "state": "WV",
            "postal_code": "254193829",
            "telephone_number": "304-274-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "DARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falling Waters, WV

All providers in Falling Waters, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.