Nickie Jean Nida

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

105 Market St
Grantsville, WV 26147-4700

Phone

(304) 354-7017

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Calhoun County Committee on Aging, Inc.

  • Voluntary or Charitable Agency
  • Grantsville, WV
  • NPI 1487798914
  NPD
• Calhoun County Committee on Aging

  • Home Health Agency
  • Grantsville, WV
  • NPI 1487058681
  NPD (past)
• Calhoun County Committee on Aging

  • Home Health Agency
  • Grantsville, WV
  • NPI 1831593813
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1669108387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 619",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261470619",
            "telephone_number": "304-354-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARKET ST",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261474700",
            "telephone_number": "304-354-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDA",
        "first_name": "NICKIE",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Denise Mooney, DDS
• Shonda Lynn Moore
• Andrea Morris
• Annetta Dawn Moss
• Donna Nichols
• Ashley Raine Noah, DDS
• Jayda Skye Osborne
• Deborah Lynn Parsons
• Jimmy Parsons
• Carolyn Patterson, RN, FNP

• Personal Care Attendant in Grantsville, WV
• Providers in Grantsville, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.