Individual provider Active NPI

Amy Weekley

  • Personal Care Attendant
  • Fairmont, WV
National Provider Identifier
1700523974
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
16 Mountain Park Dr
Fairmont, WV 26554-8992
Phone
(304) 816-3687
Fax
(304) 816-3737
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X WV Primary

Addresses

NPPES NPI Registry

Primary practice location

16 Mountain Park Dr
Fairmont, WV 26554-8992

Mailing address

16 Mountain Park Dr
Fairmont, WV 26554-8992
Phone (304) 816-3687

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2022.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1700523974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN PARK DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548992",
            "telephone_number": "304-816-3687",
            "fax_number": "304-816-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN PARK DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548992",
            "telephone_number": "304-816-3687",
            "fax_number": "304-816-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKLEY",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.