Shannon Pauley

Individual provider Active NPI Home Health Aide · Nellis, WV

NPI 1386535540 · NPPES record last updated Jul 14, 2025

Key facts

NPI
1386535540
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
1447 C and O Road
Nellis, WV 25142
Phone
(304) 951-9075
NPI assigned
Jul 14, 2025
Sex
Unspecified or another gender identity
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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

1447 C and O Road
Nellis, WV 25142

Mailing address

PO Box 2
Nellis, WV 25142-0002

Other providers in Nellis, WV

All providers in Nellis, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.