Breanna Elizabeth Dispenziere
Individual provider Active NPI Personal Care Attendant · Wayne, WV
NPI 1336090521 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1336090521
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 5866 Fisher Bowen Branch Rd
Wayne, WV 25570-5918 - Phone
- (573) 915-1605
- NPI assigned
- Feb 4, 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 | Yes |
Addresses
Primary practice location
5866 Fisher Bowen Branch Rd
Wayne, WV 25570-5918
Mailing address
5866 Fisher Bowen Branch Rd
Wayne, WV 25570-5918
Phone (573) 915-1605
Other providers in Wayne, WV
- Tabitha Crabtree
- Ruth Crowe
- Jessica Nicole Davis
- Kira Nichelle Davis
- Luke Thomas Dickerson
- Elizabeth Noel Distefano
- Abdulla A Doctor
- Dr. J.D. Adkins, DDS
- Amber Grace Dunlap
- Laura Lee Duty
All providers in Wayne, 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 Feb 4, 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.