Kimberly J Woods, PCA

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

G20033163000 Issued in WV

Practice address

2499 Fork Ridge Rd
Moundsville, WV 26041-3189

Phone

(304) 845-5893

NPI assigned

Nov 17, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Kimberly J Stevey (Maiden Name) Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1265946966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 FORK RIDGE ROAD",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "26041",
            "telephone_number": "304-845-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 FORK RIDGE RD",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260413189",
            "telephone_number": "304-845-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "WV",
            "license": "G20033163000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER I D NUMBER",
            "identifier": "G20033163000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G20033163000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STEVEY (MAIDEN NAME)",
            "middle_name": "J",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nika Lorraine Wood
• Nika Nicole Wood
• Ralph E Wood, DO
• Sylvia Dee Wood
• Frances Jean Woods
• Tonya Glynnette Woody
• Danyell Wray
• Wvuhs Home Care, LLC (WVUHS Home Care)
• Katie Yager
• Michelle Elizabeth Yates

• Personal Care Attendant in Moundsville, WV
• Providers in Moundsville, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.