Active NPI
Lisa Ann Minor
- Personal Care Attendant
- McMechen, WV
National Provider Identifier
1154832608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 3810028489
- Practice address
- 1411 Marshall St
McMechen, WV 26040-1146 - Phone
- (304) 233-4323
- NPI assigned
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 3810028489 | WV | Primary |
Addresses
Primary practice location
1411 Marshall St
McMechen, WV 26040-1146
Mailing address
1411 Marshall St
McMechen, WV 26040-1146
Phone (304) 233-4323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810028489 | Other | WV | PROVIDER ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3810028489 | WV | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1154832608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 MARSHALL ST",
"city": "MCMECHEN",
"state": "WV",
"postal_code": "260401146",
"telephone_number": "304-233-4323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 MARSHALL ST",
"city": "MCMECHEN",
"state": "WV",
"postal_code": "260401146",
"telephone_number": "304-233-4323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "LISA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "WV",
"license": "3810028489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "3810028489",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in McMechen, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.