Active NPI
Shayla Dawn Rutan
- Personal Care Attendant
- Proctor, WV
National Provider Identifier
1194540401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 5917 Burch Ridge Rd
Proctor, WV 26055-4184 - Phone
- (304) 551-5603
- NPI assigned
- Nov 21, 2024
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
5917 Burch Ridge Rd
Proctor, WV 26055-4184
Mailing address
5917 Burch Ridge Rd
Proctor, WV 26055-4184
Phone (304) 551-5603
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125553494 | Medicaid | WV | |
| 1356607394 | Medicaid | WV | |
| 1821206228 | Medicaid | WV |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1194540401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5917 BURCH RIDGE RD",
"city": "PROCTOR",
"state": "WV",
"postal_code": "260554184",
"telephone_number": "304-551-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5917 BURCH RIDGE RD",
"city": "PROCTOR",
"state": "WV",
"postal_code": "260554184",
"telephone_number": "304-551-5603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTAN",
"first_name": "SHAYLA",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125553494",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356607394",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821206228",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Proctor, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.