Active NPI
Fonda Janette Keyser, PCA
- Personal Care Attendant
- Greenview, WV
National Provider Identifier
1265948749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 963 Big Branch Road
Greenview, WV 25053 - Phone
- (304) 369-0075
- NPI assigned
- Dec 20, 2017
- Last updated
- Dec 20, 2017
- 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 | WV | Primary |
Addresses
Primary practice location
963 Big Branch Road
Greenview, WV 25053
Mailing address
P.O. Box 256
Jeffrey, WV 25114
Phone (304) 356-4562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032344000 | Other | WV | PROVIDER ID |
Other names 1
- Fonda Janette Covert
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": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1265948749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 256",
"city": "JEFFREY",
"state": "WV",
"postal_code": "25114",
"telephone_number": "304-356-4562",
"fax_number": "304-558-4563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 BIG BRANCH ROAD",
"city": "GREENVIEW",
"state": "WV",
"postal_code": "25053",
"telephone_number": "304-369-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYSER",
"first_name": "FONDA",
"middle_name": "JANETTE",
"credential": "PCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-20",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "0032344000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FONDA",
"last_name": "COVERT",
"middle_name": "JANETTE",
"code": "1",
"type": "Former Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.