Active NPI
Leah Dionne Bennett
- Homemaker
- Beckley, WV
National Provider Identifier
1194335950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- F886734
- Practice address
- 130 George St
Beckley, WV 25801-2648 - Phone
- (404) 929-2670
- NPI assigned
- Aug 6, 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 | F886734 | WV | Primary |
Addresses
Primary practice location
130 George St
Beckley, WV 25801-2648
Mailing address
130 George St
Beckley, WV 25801-2648
Phone (304) 929-2670
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 |
|---|---|---|---|
| F886734 | WV | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elder Aide Services | Past | Accepting new patients | |
| Elder Aide Services | Homemaker | 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.
-
- Home Health Agency
- Charleston, WV
- NPI 1205044765
-
- Homemaker
- Charleston, WV
- NPI 1942723093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1194335950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 GEORGE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012648",
"telephone_number": "304-929-2670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GEORGE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012648",
"telephone_number": "404-929-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "LEAH",
"middle_name": "DIONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "WV",
"license": "F886734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.