Patricia Defibaugh

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

129 Dandelion Dr
Lewisburg, WV 24901-5515

Phone

(304) 661-0390

NPI assigned

Sep 5, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1497580724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 DANDELION DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249015515",
            "telephone_number": "304-661-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 DANDELION DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249015515",
            "telephone_number": "304-661-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFIBAUGH",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davis-Stuart, Inc.
• Davita of Greenbrier
• Patricia Lynn Deaver, GSW
• Izabella Lynn Defibaugh, RN
• Kimberly M Defibaugh
• Lisa Degraft
• James P. Dehaven, M.D.
• Brenda Deitz
• Joseph R. Desaulniers, PT
• Deen Ann Dever, SPEECH PATHOLOGIST

• Early Intervention Provider Agency in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Early Intervention Provider Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.