Active NPI
Andrea Marshall
- Personal Care Attendant
- Beckley, WV
National Provider Identifier
1649886342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 3747P1801X
- Practice address
- 107 Tanglewood Dr
Beckley, WV 25801-3255 - Phone
- (681) 220-8248
- NPI assigned
- Sep 17, 2020
- 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 | 3747P1801X | WV | Primary |
Addresses
Primary practice location
107 Tanglewood Dr
Beckley, WV 25801-3255
Mailing address
107 Tanglewood Dr
Beckley, WV 25801-3255
Phone (681) 220-8248
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3747P1801X | WV | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1649886342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 TANGLEWOOD DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013255",
"telephone_number": "681-220-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 TANGLEWOOD DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013255",
"telephone_number": "681-220-8248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-17",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "WV",
"license": "3747P1801X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.