Active NPI
Carolyn Legg
- Personal Care Attendant
- Summersville, WV
National Provider Identifier
1356939342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 802 Nile Rd
Summersville, WV 26651-4424 - Phone
- (304) 644-7530
- NPI assigned
- Jan 5, 2021
- Last updated
- Jan 5, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
802 Nile Rd
Summersville, WV 26651-4424
Mailing address
248 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1349
Other practice location 1
70 B Ave.
Richwood, WV 26261
Phone (304) 846-0237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7571 | Other | WV | NO INSURER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ResCare | Health Information Exchange (HIE) |
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": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1356939342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 RED OAKS SHOPPING CTR",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249701349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 NILE RD",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266514424",
"telephone_number": "304-644-7530"
}
],
"practiceLocations": [
{
"address_1": "70 B Ave.",
"address_purpose": "LOCATION",
"city": "Richwood",
"state": "WV",
"postal_code": "26261",
"country_code": "US",
"telephone_number": "304-846-0237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEGG",
"first_name": "CAROLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NO INSURER",
"identifier": "7571",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ResCare",
"affiliation": "N",
"endpointDescription": "employer",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "802 Nile Rd",
"city": "Summersville",
"state": "WV",
"country_code": "US",
"postal_code": "266514424",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.