Teresa Ann Blake
Individual provider Active NPI Home Health Aide · Mineral Wells, WV
NPI 1225869647 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1225869647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 77 Christy LN
Mineral Wells, WV 26150-9461 - Phone
- (304) 482-4354
- NPI assigned
- Aug 8, 2024
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
77 Christy LN
Mineral Wells, WV 26150-9461
Mailing address
77 Christy LN
Mineral Wells, WV 26150-9461
Other providers in Mineral Wells, WV
- Aimee D Avona
- Gloria Bailey
- Johnathon Michael Ball
- Katherine Lynn Barker
- Patsy Bee
- Joseph Stephen Blevins
- Erin Hudgins Branham
- Cody Cale
- Stacy Ranae Callow
- Camden Clark Memorial Hospital Corporation
All providers in Mineral Wells, 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 Aug 8, 2024. 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.