Cathy Pollis
Individual provider Active NPI Licensed Practical Nurse · Charleston, WV
NPI 1124742275 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1124742275
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 27674 (WV)
- Practice address
- 400 Tracy Way Ste 100
Charleston, WV 25311-1280 - Phone
- (304) 720-0205
- NPI assigned
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27674 | WV | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care at Home of West Virginia, LLC | Past |
Accepting new patients | |
| Mountaineer Homecare, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27674 | WV | Yes |
Addresses
Primary practice location
400 Tracy Way Ste 100
Charleston, WV 25311-1280
Mailing address
400 Tracy Way Ste 100
Charleston, WV 25311-1280
Phone (304) 720-0205
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop/Tablet | ||
| CONNECT URL | desktop/tablet |
Other providers in Charleston, WV
- Mikael Poling
- Tammy Poling
- Marissa Politino
- Destiney Pollard
- Pollen8, Inc.
- Frederic H Pollock
- Whitney Pomeroy
- Staci Ponder
- Alison Nicole Poole
- Justice Poole
All providers in Charleston, WV · Licensed Practical Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.