Melissa Gail Bragg
Individual provider Active NPI Personal Care Attendant · Shady Spring, WV
NPI 1639787997 · NPPES record last updated Jan 9, 2023
Key facts
- NPI
- 1639787997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1278 Irish Mountain Rd
Shady Spring, WV 25918-8171 - Phone
- (304) 575-5989
- NPI assigned
- Jul 22, 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
1278 Irish Mountain Rd
Shady Spring, WV 25918-8171
Mailing address
PO Box 1124
Beaver, WV 25813-1124
Phone (304) 575-5989
Other providers in Shady Spring, WV
- Heather Bailey
- Herbert J Baker
- Jessica Celine Barber
- Adrienne Leigh Berry
- Jaclyn Ruth Bolen
- Shane Edward Bragg
- Lesa J Buckland
- C Jeff Clay, D.D.S. Inc.
- Shyann Louise Callaway
- Gregory Wayne Castle
All providers in Shady Spring, 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 Jan 9, 2023. 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.