Kelly Dimmick

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R204314 Issued in MD

Practice address

1314 Edwin Miller Blvd Ste 101
Martinsburg, WV 25404-5717

Phone

(304) 728-1750

NPI assigned

May 31, 2023

Last updated

May 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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.

• Wvuhs Home Care, LLC

  • Home Health Agency
  • Saint Clairsville, OH
  • NPI 1609440437
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1780377267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 EDWIN MILLER BLVD STE 101",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045717",
            "telephone_number": "304-728-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 EDWIN MILLER BLVD STE 101",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045717",
            "telephone_number": "304-728-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMMICK",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R204314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Chika Dikas, PHARMD
• Elisha Dillow
• Jordan Dillow
• Justin Lee Dillow
• Susan J Dilly, REGISTERED NURSE
• Ha Dinh, M.D.
• Kristie Dinterman
• Kristy Divelbliss, PA-C
• Diverse Counseling Solutions LLC (Diverse Counseling Solutions)
• Rosalind Diyanni, PLPC

• Home Health Registered Nurse in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Home Health Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.