Katherine Brooks
Individual provider Active NPI Community Health Worker · West Union, WV
NPI 1285302158 · NPPES record last updated Sep 3, 2021
Key facts
- NPI
- 1285302158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2015 Smithton Rd
West Union, WV 26456-8106 - Phone
- (304) 904-2374
- NPI assigned
- Sep 3, 2021
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
2015 Smithton Rd
West Union, WV 26456-8106
Mailing address
2015 Smithton Rd
West Union, WV 26456-8106
Phone (304) 904-2374
Other providers in West Union, WV
- Tiffany Marie Blankenship
- Karen Elaine Bradley
- Savannah Bradley
- Theresa Bright
- Beatrice Brittion
- Arthur Lewis Calhoun
- Charity Casada
- Mary Cass
- Faith Cogar
- Patricia Lynne Combs
All providers in West Union, WV · Community Health Worker 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 Sep 3, 2021. 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.