Active NPI
Suzanne Merchant
- Personal Care Attendant
- Charleston, WV
National Provider Identifier
1306432604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1710 Pennsylvania Ave
Charleston, WV 25302-3934 - Phone
- (304) 348-0707
- NPI assigned
- Dec 21, 2020
- 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 | Primary |
Addresses
Primary practice location
1710 Pennsylvania Ave
Charleston, WV 25302-3934
Mailing address
1710 Pennsylvania Ave
Charleston, WV 25302-3934
Phone (304) 348-0707
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982825972 | Medicaid | WV | |
| 1255476511 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcanterbury@kvss.org |
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": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1306432604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 PENNSYLVANIA AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023934",
"telephone_number": "304-348-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 PENNSYLVANIA AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023934",
"telephone_number": "304-348-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCHANT",
"first_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982825972",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255476511",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcanterbury@kvss.org",
"affiliation": "N",
"address_1": "1710 Pennsylvania Ave",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253023934",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.