Sadie Lee Proctor
Individual provider Active NPI Personal Care Attendant · Cameron, WV
NPI 1760137566 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1760137566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 52 Sampson LN
Cameron, WV 26033-1430 - Phone
- (304) 280-4687
- NPI assigned
- Feb 21, 2022
- 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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
52 Sampson LN
Cameron, WV 26033-1430
Mailing address
52 Sampson LN
Cameron, WV 26033-1430
Phone (304) 280-4687
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255523494 | Medicaid | WV | |
| 1356607394 | Medicaid | WV | |
| 1821206228 | Medicaid | WV |
Other providers in Cameron, WV
- Melissa Odonnell
- Charles Edward Okel
- Ryan Osal
- Christina Rebecca Osecky
- P and P Health Services, Inc
- Andrea Richardson
- Carlos Daniel Rothschild
- Beth Ann Schlieper
- Teresa Lynn Waldhelm
- Emma Jean Whipkey
All providers in Cameron, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.