Danette Payne
Individual provider Active NPI Community Health Worker · Exchange, WV
NPI 1194407692 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1194407692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 11682 Exchange Rd
Exchange, WV 26619-7546 - Phone
- (304) 644-9179
- NPI assigned
- Aug 3, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
11682 Exchange Rd
Exchange, WV 26619-7546
Mailing address
11682 Exchange Rd
Exchange, WV 26619-7546
Phone (304) 644-9179
Other providers in Exchange, WV
- Jacqueline S Belknap
- Chesney Brown
- Kasey Brown
- Misty Dennison
- Alexandria Jo Loyd
- Casey Ramsey
- Kathryn Sears
All providers in Exchange, WV · Community Health Worker 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 Aug 3, 2023. 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.