Anna Arthur

Individual provider Active NPI Community Health Worker · South Charleston, WV

NPI 1730764705 · NPPES record last updated Mar 11, 2021

Key facts

NPI
1730764705
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
225 Bird CT
South Charleston, WV 25303-1813
Phone
(304) 881-8659
NPI assigned
Mar 11, 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)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

225 Bird CT
South Charleston, WV 25303-1813

Mailing address

225 Bird CT
South Charleston, WV 25303-1813
Phone (304) 881-8659

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 11, 2021.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1730764705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BIRD CT",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031813",
            "telephone_number": "304-881-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BIRD CT",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031813",
            "telephone_number": "304-881-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTHUR",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

All providers in South Charleston, WV · Community Health Worker in West Virginia

Sources for this page

Verify at the official NPI Registry.