Tammy Renee Tolley
Individual provider Active NPI Personal Care Attendant · Rupert, WV
NPI 1558088245 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1558088245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 117 Stadium Dr
Rupert, WV 25984 - Phone
- (304) 661-0294
- NPI assigned
- Oct 24, 2022
- 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
117 Stadium Dr
Rupert, WV 25984
Mailing address
PO Box 281
Rupert, WV 25984-0281
Phone (304) 661-0294
Other providers in Rupert, WV
- Jason Robinson
- John Robinson
- Preston D Sanford
- Sierra Nicole Thompson
- Tresa Ann Thompson
- Diana Trigg
- Ellen Trout
- Carleigh Vanburen
- Jennifer Rose Vance
- Walker Physical Therapy LLC
All providers in Rupert, 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 Oct 24, 2022. 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.