Katrina Bevans

Key facts

NPI

1639781925

Entity type

Individual (NPI type 1)

Primary specialty

Personal Care Attendant 3747P1801X

Practice address

3924 Gould Rd
French Creek, WV 26218-2310

Phone

(304) 636-9326

NPI assigned

Aug 19, 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

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 29, 2021.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1639781925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WILSON LN",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262415216",
            "telephone_number": "304-636-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 GOULD RD",
            "city": "FRENCH CREEK",
            "state": "WV",
            "postal_code": "262182310",
            "telephone_number": "304-636-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVANS",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in French Creek, WV

• Raven Alderman
• Patience Bailey Alderman
• Brandon Bailey
• Eugene Allen Bond
• Community Care of West Virginia, Inc.
• Crystal Fassett
• Jacob Fisher
• Deborah Ann Friend

All providers in French Creek, WV · Personal Care Attendant in West Virginia