David Pellegrin

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

8121 Woodland Ave
Stonewood, WV 26301-8137

Phone

(304) 629-2261

NPI assigned

Feb 19, 2021

Sex

Male

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": "1124611132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WILLOWCREST LN",
            "city": "MOUNT CLARE",
            "state": "WV",
            "postal_code": "264087341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 WOODLAND AVE",
            "city": "STONEWOOD",
            "state": "WV",
            "postal_code": "263018137",
            "telephone_number": "304-629-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRIN",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "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": []
}

• Kristy L Lawson
• Tracy Lewis
• Tina Marie Lowe
• Mallory Brooke Newlon
• James Richard Patton Jr.
• Rescare West Virginia, Incorportated
• Myra Sandy
• Shane Michael Smith
• Joyce Stalnaker
• Barbara Ann Swiger

• Community Health Worker in Stonewood, WV
• Providers in Stonewood, 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.