Justin Collins
Individual provider Active NPI Community Health Worker · Walton, WV
NPI 1356926950 · NPPES record last updated Mar 15, 2021
Key facts
- NPI
- 1356926950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1194 Cottontree Rd
Walton, WV 25286-8904 - Phone
- (304) 377-9048
- NPI assigned
- Mar 15, 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1194 Cottontree Rd
Walton, WV 25286-8904
Mailing address
1194 Cottontree Rd
Walton, WV 25286-8904
Phone (304) 377-9048
Other providers in Walton, WV
- Melissa Almack
- Angela Dawn Bright
- Charlotte Chandler
- Darlene Collins
- Tambra Collins
- Diannah Craig
- Gregory Allen Crowther
- Aarron Hartley
- Hospital Development Co
All providers in Walton, WV · Community Health Worker 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 Mar 15, 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.