Crystal Martin
Individual provider Active NPI Personal Care Attendant · Fairmont, WV
NPI 1366292906 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1366292906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 16 Mountain Park Dr
Fairmont, WV 26554-8992 - Phone
- (304) 816-3687
- Fax
- (304) 816-3737
- NPI assigned
- Mar 26, 2024
- 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 | Yes |
Addresses
Primary practice location
16 Mountain Park Dr
Fairmont, WV 26554-8992
Mailing address
16 Mountain Park Dr
Fairmont, WV 26554-8992
Phone (304) 816-3687
Other providers in Fairmont, WV
- Merry Marks
- John Maroulis
- Chad Ross Marsh
- Renee Marsh
- Brenda Kay Martin
- Kimberly Kay Martin
- Lawanda Lynn Martin
- Michelle Martin
- Layne Martinez
- Caterina Martino
All providers in Fairmont, 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 Mar 26, 2024. 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.