Carrie Derenberger
Individual provider Active NPI Personal Care Attendant · Williamstown, WV
NPI 1336733740 · NPPES record last updated Feb 25, 2021
Key facts
- NPI
- 1336733740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2242 Williams Hwy
Williamstown, WV 26187-8266 - Phone
- (304) 615-5136
- NPI assigned
- Feb 25, 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | WV | Yes |
Addresses
Primary practice location
2242 Williams Hwy
Williamstown, WV 26187-8266
Mailing address
2242 Williams Hwy
Williamstown, WV 26187-8266
Phone (304) 615-5136
Other providers in Williamstown, WV
- Jenna Nichele Dawson
- Deborah Day
- Charlene Deem
- Alyssa D Deeter
- Holly Jo Demarco
- Jennifer Marie Dinardo
- Rebekah Dinger
- Casey Dixon
- Michael Dodd
- Angela Marie Ebert
All providers in Williamstown, 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 25, 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.