Teresa Lee Clay
Individual provider Active NPI Personal Care Attendant · Wayne, WV
NPI 1609486117 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1609486117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 71 Goodman Cemetery Rd
Wayne, WV 25570-8754 - Phone
- (304) 360-4709
- NPI assigned
- Aug 10, 2020
- 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
71 Goodman Cemetery Rd
Wayne, WV 25570-8754
Mailing address
71 Goodman Cemetery Rd
Wayne, WV 25570-8754
Phone (304) 360-4709
Other providers in Wayne, WV
- Heather Rae Carico
- Peggy Ann Carpenter
- Tanner Carter
- Tammy Chaney
- Elizabeth Dee-Ann Chapman Fields
- Harland Clevenger
- Patricia Lynn Cline
- Fiona M Cole
- Alexandra Nicole Collins
- Jerome Conners
All providers in Wayne, 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 Jun 23, 2021. 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.