Crystal Thacker
Individual provider Active NPI Personal Care Attendant · Belfry, KY
NPI 1336075480 · NPPES record last updated Jun 18, 2026
Key facts
- NPI
- 1336075480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 80 Francis Rd
Belfry, KY 41514-7839 - Phone
- (681) 265-0036
- NPI assigned
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- No
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 | WV | Yes |
Addresses
Primary practice location
80 Francis Rd
Belfry, KY 41514-7839
Mailing address
80 Francis Rd
Belfry, KY 41514-7839
Other providers in Belfry, KY
- Nichole Reid
- Mary June Restar
- Betty Ann Ross
- Lisa Jodale Scott
- Melissa Lynn Smith
- Jarrod Thacker
- Bethany Faye Thomas
- TLC Family Practice LLC
- TPC
- Dianne Angelic Embodo Urot
All providers in Belfry, KY · Personal Care Attendant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2026. 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.