Crystal Lynn Spicer
Individual provider Active NPI Personal Care Attendant · Lindside, WV
NPI 1497344394 · NPPES record last updated Jan 14, 2021
Key facts
- NPI
- 1497344394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 8395 Seneca Trail South
Lindside, WV 24951 - Phone
- (304) 753-4384
- NPI assigned
- Jan 14, 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 |
|---|---|---|---|
| Monroe County Council on Aging | Past |
Accepting new patients | |
| Monroe County Council on Aging Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
8395 Seneca Trail South
Lindside, WV 24951
Mailing address
PO Box 149
Lindside, WV 24951-0149
Phone (304) 753-4384
Other providers in Lindside, WV
- Princeton Memorial Hospital Company
- Ruth Ann Riffe
- Sierra L Robertson
- Shaina Celeste Rose
- Seneca Trail Leasing Co., LLC
- Springfield Center LLC
- Lisa Faye Wallace
- Clarence White
- Patricia White
- Geoffery Wickline
All providers in Lindside, 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 Jan 14, 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.