Tabitha Dannielle Herrick

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

85342 Issued in WV

Practice address

411 North, WV-2
New Martinsville, WV 26155

Phone

(304) 455-5515

NPI assigned

Oct 3, 2022

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1154045292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ROSS ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552866",
            "telephone_number": "304-771-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NORTH, WV-2",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "26155",
            "telephone_number": "304-455-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Ross St",
            "address_purpose": "LOCATION",
            "city": "New Martinsville",
            "state": "WV",
            "postal_code": "261552866",
            "country_code": "US",
            "telephone_number": "304-771-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "TABITHA",
        "middle_name": "DANNIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "85342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop/tablet",
            "affiliation": "N",
            "address_1": "411 North, WV-2",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "26155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop/Tablet",
            "affiliation": "N",
            "address_1": "411 North, WV-2",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "26155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Khari Danielle Headley
• Lisa Marie Heath, COTA/L
• Tiffany Heinzman
• Christy Heise
• Hannah Herrick, PHARM D
• Kayla Marie Hetrick
• James William Hibbits
• Melonie Ranae Hoagland
• Stephanie Rose Hoagland
• Courtney Hohman

• Home Health Registered Nurse in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Home Health Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.