Stacey F. Davis
Individual provider Active NPI Personal Care Attendant · Shady Spring, WV
NPI 1275498149 · NPPES record last updated Dec 22, 2025
Key facts
- NPI
- 1275498149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 116 Panda Dr
Shady Spring, WV 25918-8435 - Phone
- (304) 573-8359
- NPI assigned
- Dec 22, 2025
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
116 Panda Dr
Shady Spring, WV 25918-8435
Mailing address
116 Panda Dr
Shady Spring, WV 25918-8435
Phone (304) 573-8359
Other providers in Shady Spring, WV
- Community Health Systems Inc
- Community Health Systems Inc.
- Carma Concepcion
- Charlotte Cox
- Holli Davis
- Lori Day
- Thomas Day
- Alexis Nicole Deeds
- Linda Deeds
- Chelsea Renee Defibaugh
All providers in Shady Spring, WV · Personal Care Attendant 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 Dec 22, 2025. 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.