Breanna Berry
Individual provider Active NPI Personal Care Attendant · Beckley, WV
NPI 1164025433 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1164025433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 254 George St
Beckley, WV 25801-2641 - Phone
- (304) 255-0620
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
254 George St
Beckley, WV 25801-2641
Mailing address
112C Miller Bragg Cir
Mount Hope, WV 25880-9467
Other providers in Beckley, WV
- Leah Dionne Bennett
- Lisa G Bennett
- Scott William Berneburg
- Rio Calvez Bero
- Braxton Berry
- Crystal Lynn Berry
- Georgia Berry
- Randy Berry II
- Rosalind Rebecca Berry
- John David Berryman
All providers in Beckley, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.