Ruth Alden

Key facts

NPI

1669060976

Entity type

Individual (NPI type 1)

Primary specialty

Community Health Worker 172V00000X

Practice address

3702 Camden Ave
Parkersburg, WV 26101-6333

Phone

(304) 485-6405

NPI assigned

Jan 4, 2021

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 Jan 4, 2021.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1669060976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 CAMDEN AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 CAMDEN AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016333",
            "telephone_number": "304-485-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDEN",
        "first_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Parkersburg, WV · Community Health Worker in West Virginia