Katheryn Wall

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

1568796027 Issued in WV

Practice address

Case WV
600 Trent Street
Princeton, WV 24701

Phone

(304) 425-7111

NPI assigned

Aug 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katheryn Vanhoozier Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Action of Southeastern West Virginia

  • In Home Supportive Care Agency
  • Bluefield, WV
  • NPI 1568796027
  NPD (past)

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1578348447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BLUEFIELD AVE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247012883",
            "telephone_number": "304-425-7111",
            "fax_number": "304-425-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CASE WV",
            "address_2": "600 TRENT STREET",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24701",
            "telephone_number": "304-425-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "KATHERYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "WV",
            "license": "1568796027",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "WV",
            "license": "1568796027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERYN",
            "last_name": "VANHOOZIER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Belinda Walker
• Brittany Walker
• Debra Walker
• Mary Walker
• Robert Walker, MD
• David Allen Wallace, DDS, MS
• Kimberly Waller
• Jennifer Lynn Walls
• Bonnie Walters
• Chance Walters

• Attendant Care Provider in Princeton, WV
• Providers in Princeton, WV by specialty
• Attendant Care Provider in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.