Active NPI
Jacqueline Smith
- Personal Care Attendant
- Chapmanville, WV
National Provider Identifier
1376292300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 86 Shae Ave
Chapmanville, WV 25508-9805 - Phone
- (304) 855-4430
- NPI assigned
- Mar 18, 2022
- Last updated
- Feb 7, 2025
- Sex
- Female
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
86 Shae Ave
Chapmanville, WV 25508-9805
Mailing address
86 Shae Ave
Chapmanville, WV 25508-9805
Phone (304) 855-4430
Other practice location 1
481 Low Gap Br
Harts, WV 25524-8014
Phone (304) 784-5757
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Care Inc. | Current | Accepting new patients | |
| All About Care Inc. | Current | Accepting new patients |
Locations
86 Shae Ave
Chapmanville, WV 25508
Phone (304) 855-4430
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1376292300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 SHAE AVE",
"city": "CHAPMANVILLE",
"state": "WV",
"postal_code": "255089805",
"telephone_number": "304-855-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 SHAE AVE",
"city": "CHAPMANVILLE",
"state": "WV",
"postal_code": "255089805",
"telephone_number": "304-855-4430"
}
],
"practiceLocations": [
{
"address_1": "481 Low Gap Br",
"address_purpose": "LOCATION",
"city": "Harts",
"state": "WV",
"postal_code": "255248014",
"country_code": "US",
"telephone_number": "304-784-5757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapmanville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.