Active NPI
Jessica A Wills, CNA
- Nurse's Aide
- Cool Ridge, WV
National Provider Identifier
1467859223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 0810-59899
- Practice address
- 1175 Mount View Rd
Cool Ridge, WV 25825-9520 - Phone
- (304) 222-6443
- NPI assigned
- Nov 21, 2014
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 0810-59899 | WV | Primary |
Addresses
Primary practice location
1175 Mount View Rd
Cool Ridge, WV 25825-9520
Mailing address
1175 Mount View Rd
Cool Ridge, WV 25825-9520
Phone (304) 222-6443
Other names 1
- Jessica A Snuffer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810-59899 | WV | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1467859223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 MOUNT VIEW RD",
"city": "COOL RIDGE",
"state": "WV",
"postal_code": "258259520",
"telephone_number": "304-222-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 MOUNT VIEW RD",
"city": "COOL RIDGE",
"state": "WV",
"postal_code": "258259520",
"telephone_number": "304-222-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WV",
"license": "0810-59899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SNUFFER",
"middle_name": "A",
"credential": "CNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cool Ridge, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.