Sandra Gayle Smith, CNA
Individual provider Active NPI Personal Care Attendant · Augusta, WV
NPI 1366055832 · NPPES record last updated Aug 25, 2020
Key facts
- NPI
- 1366055832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 270 Hickory LN
Augusta, WV 26704-8429 - Phone
- (304) 359-3293
- NPI assigned
- Aug 25, 2020
- 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
270 Hickory LN
Augusta, WV 26704-8429
Mailing address
270 Hickory LN
Augusta, WV 26704-8429
Phone (304) 359-3293
Other providers in Augusta, WV
- Decole Sue Shanholtz
- Rebekah Abigail Shingleton
- Lisa L Sidley
- Jolinda Sirk
- Jessica Lyhuffman Smith
- Pamela Smoot
- Michelle Carol Southerly
- Hope D Sowers
- Karen S Stickley
- Patty Jean Stokes
All providers in Augusta, 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 Aug 25, 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.