Tiffany Cruz
Individual provider Active NPI Personal Care Attendant · Augusta, WV
NPI 1497534903 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1497534903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 86 Everlasting LN
Augusta, WV 26704-5328 - Phone
- (304) 359-1862
- NPI assigned
- Sep 25, 2023
- 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
86 Everlasting LN
Augusta, WV 26704-5328
Mailing address
86 Everlasting LN
Augusta, WV 26704-5328
Phone (304) 359-1862
Other providers in Augusta, WV
- Helen Brown
- Delphia Catlett
- Kimberly Catlett
- Jeremy Cook
- Wendy Cook
- Olivia Custer
- Donald Lee Darr Jr.
- Margaret Rae Davidson
- Christian Degrassi
- Nakiah Dornbusch
All providers in Augusta, 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 27, 2023. 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.