Active NPI
Cecelia K Kpor, HEALTH CARE MANAGER
- Nursing Care Agency
- Charles Town, WV
National Provider Identifier
1306696984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Practice address
- 113 W Liberty St
Charles Town, WV 25414-1547 - Phone
- (304) 283-0522
- NPI assigned
- Mar 25, 2024
- Last updated
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Nursing Care Agency | 251J00000X | WV | Primary |
Addresses
Primary practice location
113 W Liberty St
Charles Town, WV 25414-1547
Mailing address
PO Box 212
Inwood, WV 25428-0212
Phone (304) 283-0522
Other practice location 1
1263 S George St
Charles Town, WV 25414-4384
Phone (304) 283-0522
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": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1306696984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 212",
"city": "INWOOD",
"state": "WV",
"postal_code": "254280212",
"telephone_number": "304-283-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W LIBERTY ST",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254141547",
"telephone_number": "304-283-0522"
}
],
"practiceLocations": [
{
"address_1": "1263 S George St",
"address_purpose": "LOCATION",
"city": "Charles Town",
"state": "WV",
"postal_code": "254144384",
"country_code": "US",
"telephone_number": "304-283-0522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KPOR",
"first_name": "CECELIA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "HEALTH CARE MANAGER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charles Town, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.