Shawn Buckhannon
Individual provider Active NPI Home Health Aide · Weston, WV
NPI 1548057631 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1548057631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 355 Arch St
Weston, WV 26452-1504 - Phone
- (724) 998-5142
- NPI assigned
- Apr 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
355 Arch St
Weston, WV 26452-1504
Mailing address
355 Arch St
Weston, WV 26452-1504
Other providers in Weston, WV
- Kathy Brooks
- Betty Brown
- Kyli Nicole Brown
- Veronica Brown
- William Brown
- Molly C Burgett
- Brittany Burkhammer
- Virginia Burnside
- Cassandra Butcher
- George Butcher
All providers in Weston, WV · Home Health Aide 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 Apr 22, 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.