Kourtni Smith
Individual provider Active NPI Personal Care Attendant · Springfield, WV
NPI 1457960692 · NPPES record last updated Jul 7, 2021
Key facts
- NPI
- 1457960692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 11 Bamboo Trail LN
Springfield, WV 26763-4515 - Phone
- (304) 790-3077
- NPI assigned
- Jul 23, 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
11 Bamboo Trail LN
Springfield, WV 26763-4515
Mailing address
11 Bamboo Trail LN
Springfield, WV 26763-4515
Phone (304) 790-3077
Other providers in Springfield, WV
- Janet Lee Rizer
- Bonnie Lee Robinson
- Crystal Lynn Sandridge
- Barbara Sue Sheetz
- Melanie Shuck
- Spring Valley Family Care
- Springfield Area Rescue Squad Inc
- Gail Sue Swisher
- Megan Lea Yahnke
All providers in Springfield, 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 Jul 7, 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.