Lisa Paugh
Individual provider Active NPI Home Health Aide · Old Fields, WV
NPI 1174411060 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1174411060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 966 Shockey Rd
Old Fields, WV 26845-8626 - Phone
- (304) 490-1094
- NPI assigned
- Jun 27, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
966 Shockey Rd
Old Fields, WV 26845-8626
Mailing address
966 Shockey Rd
Old Fields, WV 26845-8626
Other providers in Old Fields, WV
- Lorie Delsignore
- Loretta Dingess
- Sara Kanamine
- Metheny Chiropractic Care
- Tina Ours
- Leana D Sherman
- Rita Elaine Walker
- Taylor Zuber
All providers in Old Fields, WV · Home Health Aide 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 Jun 27, 2025. 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.