Active NPI
Tasha Jaclyn Werkheiser
- Personal Care Attendant
- Fairmont, WV
National Provider Identifier
1124784772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1106 Sunset Dr
Fairmont, WV 26554-2437 - Phone
- (719) 849-5827
- NPI assigned
- Nov 9, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1106 Sunset Dr
Fairmont, WV 26554-2437
Mailing address
1106 Sunset Dr
Fairmont, WV 26554-2437
Phone (719) 849-5827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2021.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1124784772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 SUNSET DR",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542437",
"telephone_number": "719-849-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 SUNSET DR",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542437",
"telephone_number": "719-849-5827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERKHEISER",
"first_name": "TASHA",
"middle_name": "JACLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"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 Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.