Nicole Leigh Roach
Individual provider Active NPI Personal Care Attendant · Smoot, WV
NPI 1487527313 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1487527313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 9789 Blue Sulphur Springs Rd
Smoot, WV 24977-7095 - Phone
- (681) 418-2628
- NPI assigned
- Sep 26, 2025
- 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
9789 Blue Sulphur Springs Rd
Smoot, WV 24977-7095
Mailing address
9789 Blue Sulphur Springs Rd
Smoot, WV 24977-7095
Phone (681) 418-2628
Other providers in Smoot, WV
All providers in Smoot, 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 Sep 26, 2025. 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.