Alexandria Grace Baisden
Individual provider Active NPI Homemaker · Beckley, WV
NPI 1366044455 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1366044455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 130 George St Ste J
Beckley, WV 25801-2648 - Phone
- (304) 929-2670
- NPI assigned
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elder Aide Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | WV | Yes |
Addresses
Primary practice location
130 George St Ste J
Beckley, WV 25801-2648
Mailing address
114 Ball St
Beckley, WV 25801-3702
Phone (304) 712-8955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00201403583 | Medicaid | WV |
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. 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.