Kristy Irene Banta
Individual provider Active NPI Homemaker · Middlebourne, WV
NPI 1437820552 · NPPES record last updated Sep 28, 2021
Key facts
- NPI
- 1437820552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 504 Cherry St
Middlebourne, WV 26149-9618 - Phone
- (304) 758-4919
- Fax
- (304) 758-4680
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| Council of Senior Tyler Countians, Inc. | Past |
Accepting new patients | |
| Council of Senior Tyler Countians, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
504 Cherry St
Middlebourne, WV 26149-9618
Mailing address
PO Box 68
Middlebourne, WV 26149-0068
Phone (304) 758-4919
Other providers in Middlebourne, WV
- Imagen Dawn Anderson
- Elizabeth Ellen Arnett
- Jenna Beth Baker
- Sandra Maria Bassett
- Stacy Bills
- Lisa E Boyd
- Taylor Rashon Britton
- Theresa J Brown
All providers in Middlebourne, WV · Homemaker 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 Sep 28, 2021. 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.