Doreena Ann Iden

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

106 Sand Mine Rd
Berkeley Springs, WV 25411-7457

Phone

(304) 258-3096

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By 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

Other names 1

• Doreena Ann Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Life Services of Morgan County, Inc.

  • Case Management Agency
  • Berkeley Springs, WV
  • NPI 1871039362
  NPD (past)

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1174398150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SAND MINE RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254117457",
            "telephone_number": "304-258-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SAND MINE RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254117457",
            "telephone_number": "304-258-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDEN",
        "first_name": "DOREENA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREENA",
            "last_name": "MILLER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Ho, DDS
• Vanessa C Hockenberry
• Sherri J Holloway
• Misty Householder
• Ember Lauren Husk
• Stephanie Nicole Jarvis, CRNP
• Rebecca S Jay
• Kevin Dewayne Jenkins
• Heather Rene Johnson
• Laura Johnson

• Personal Care Attendant in Berkeley Springs, WV
• Providers in Berkeley Springs, 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 Nov 20, 2023; 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.