Active NPI
Christopher S Burks
- Personal Care Attendant
- Glen Fork, WV
National Provider Identifier
1609523794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 59 Mable St.
Glen Fork, WV 24874 - Phone
- (304) 994-1284
- NPI assigned
- Mar 8, 2022
- Last updated
- Mar 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NU | Primary |
Addresses
Primary practice location
59 Mable St.
Glen Fork, WV 24874
Mailing address
PO Box 1447
Pineville, WV 24874-1447
Phone (304) 994-1284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1609523794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1447",
"city": "PINEVILLE",
"state": "WV",
"postal_code": "248741447",
"telephone_number": "304-994-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 MABLE ST.",
"city": "GLEN FORK",
"state": "WV",
"postal_code": "24874",
"telephone_number": "304-994-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "CHRISTOPHER",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Fork, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.