Amanda Ann Ball
Individual provider Active NPI Personal Care Attendant · Kermit, WV
NPI 1124742937 · NPPES record last updated Sep 27, 2022
Key facts
- NPI
- 1124742937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 60 Salmons Dr.
Kermit, WV 25674 - Phone
- (304) 733-1094
- NPI assigned
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
60 Salmons Dr.
Kermit, WV 25674
Mailing address
60 Salmons Dr.
Kermit, WV 25674
Other providers in Kermit, WV
- Robert Bradley Bailey
- Jacob Benjamin Blevins
- Belinda Sue Booth
- Kierstin Nicole Booth
- Grethel Bowen
- Deborah K Bragg
All providers in Kermit, WV · Personal Care Attendant 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 Sep 27, 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.