Deanna Gustafson

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1400 Ohio Ave Ste a
Dunbar, WV 25064-2935

Phone

(304) 205-7978

NPI assigned

Dec 9, 2020

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Csi Community Services Inc

  • Community/Behavioral Health Agency
  • Dunbar, WV
  • NPI 1366600439
  NPD
• Csi Community Services Inc

  • Personal Care Attendant
  • Dunbar, WV
  • NPI 1629554555
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2020.

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1124624655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OHIO AVE STE A",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642935",
            "telephone_number": "304-205-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OHIO AVE STE A",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642935",
            "telephone_number": "304-205-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "DEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Marie Grant, MA
• Dylan Griest
• Cheri L Grimm, LPC, CAC
• Guidon Grundlehner
• Summer Gush
• H.B.a. Cytopathology Center, Inc.
• Demitrius Hale
• James Hall
• Stephanie Dawn Hall
• Payton Nichole Hannah, MS

• All providers in Dunbar, WV
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.