Melinda Sprouse
Individual provider Active NPI Community Health Worker · Waverly, WV
NPI 1659958825 · NPPES record last updated Mar 25, 2021
Key facts
- NPI
- 1659958825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 750 Isaac Fork Rd
Waverly, WV 26184-3544 - Phone
- (304) 679-5639
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
750 Isaac Fork Rd
Waverly, WV 26184-3544
Mailing address
750 Isaac Fork Rd
Waverly, WV 26184-3544
Phone (304) 679-5639
Other providers in Waverly, WV
- Nancy Nelson
- Glenda Pate
- Donald Pritchett
- James Pritchett
- Jennifer Seaford
- Jordan Stire
- Rosetta Townsend
- Carroll Vanway
- Chandler Levi Dorsey Williams
- Savanna Sue Williams
All providers in Waverly, WV · Community Health Worker 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 Mar 25, 2021. 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.