Active NPI
Tarra Cullen
- Personal Care Attendant
- Parkersburg, WV
National Provider Identifier
1629783733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 709 Division St
Parkersburg, WV 26101-5675 - Phone
- (304) 273-9311
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- 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 | WV | Primary |
Addresses
Primary practice location
709 Division St
Parkersburg, WV 26101-5675
Mailing address
3605 Stella St
Parkersburg, WV 26104-2005
Phone (304) 481-9511
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcrockett@jcdcworks.com | Jackson County Developmental Center, Inc |
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": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1629783733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 STELLA ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261042005",
"telephone_number": "304-481-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 DIVISION ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015675",
"telephone_number": "304-273-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "TARRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lcrockett@jcdcworks.com",
"affiliation": "Y",
"affiliationName": "Jackson County Developmental Center, Inc",
"address_1": "709 Division St",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015675",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.