Active NPI
Betty June Malcomb
- Personal Care Attendant
- Buckhannon, WV
National Provider Identifier
1700480324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 8 N Spring St
Buckhannon, WV 26201-2720 - Phone
- (304) 472-0395
- Fax
- (304) 471-2488
- NPI assigned
- Nov 24, 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 | Primary |
Addresses
Primary practice location
8 N Spring St
Buckhannon, WV 26201-2720
Mailing address
9263 Old Elkins Rd
Buckhannon, WV 26201-4988
Phone (304) 472-6869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3905 | Other | WV | WEST VIRGINIA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bbpbettymazcon@outlook.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701475200000",
"number": "1700480324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9263 OLD ELKINS RD",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262014988",
"telephone_number": "304-472-6869",
"fax_number": "304-471-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 N SPRING ST",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012720",
"telephone_number": "304-472-0395",
"fax_number": "304-471-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCOMB",
"first_name": "BETTY",
"middle_name": "JUNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2023-12-02",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VIRGINIA",
"identifier": "3905",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "bbpbettymazcon@outlook.com",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8 N Spring St",
"city": "Buckhannon",
"state": "WV",
"country_code": "US",
"postal_code": "262012720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.