Active NPI
Crystal Gayle Roberts
- Homemaker
- Elizabeth, WV
National Provider Identifier
1154923647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 74 Senior Circle
Elizabeth, WV 26143-2614 - Phone
- (304) 275-3158
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
74 Senior Circle
Elizabeth, WV 26143-2614
Mailing address
PO Box 370
Elizabeth, WV 26143-0370
Phone (304) 275-3158
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wirt County Committee on Aging & Family Services, Inc. | Past | Accepting new patients | |
| Wirt County Committee on Aging and Family Services,Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Elizabeth, WV
- NPI 1114321270
-
- Home Health Agency
- Elizabeth, WV
- NPI 1083749865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1154923647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "ELIZABETH",
"state": "WV",
"postal_code": "261430370",
"telephone_number": "304-275-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 SENIOR CIRCLE",
"city": "ELIZABETH",
"state": "WV",
"postal_code": "261432614",
"telephone_number": "304-275-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CRYSTAL",
"middle_name": "GAYLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.