Sue Ann Gwinn

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

487 Cowtown Rd.
Meadow Bridge, WV 25976

Phone

(304) 890-1645

NPI assigned

Sep 1, 2022

Last updated

Sep 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1134849813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "MEADOW BRIDGE",
            "state": "WV",
            "postal_code": "259760485",
            "telephone_number": "304-890-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 COWTOWN RD.",
            "city": "MEADOW BRIDGE",
            "state": "WV",
            "postal_code": "25976",
            "telephone_number": "304-890-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "SUE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takeisha Dawn Fox
• Ashley Nicole Guilliams Redden
• Nickolle Gump
• Jewell Gwinn
• Stephanie Gwinn
• Patricia Halsey
• Rex Christopher Hamrick Jr.
• Tammy Lynn Hansen
• Chevele Ann Hardiman, L.M.T / HEALTH COACH
• Jennifer Harrah

• Personal Care Attendant in Meadow Bridge, WV
• Providers in Meadow Bridge, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.