Robert Diddle, PRSS
Individual provider Active NPI Community Health Worker · Walker, WV
NPI 1790601367 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1790601367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- F975458 (WV)
- Practice address
- 47 Chambers Circle Rd
Walker, WV 26180-3585 - Phone
- (304) 679-3309
- NPI assigned
- Jun 26, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | F975458 | WV | Yes |
Addresses
Primary practice location
47 Chambers Circle Rd
Walker, WV 26180-3585
Mailing address
47 Chambers Circle Rd
Walker, WV 26180-3585
Phone (304) 679-3309
Other providers in Walker, WV
- Robert Carroll
- Leeann Cool
- Cristy Cupp
- Cynthia Damron
- Heather Nicolle Davis
- Ethan Kyle Dye
- Adele Denise Edwards
- Samantha Flack
- Kayla Marie Gibson
- Brooklyn Paige Golden
All providers in Walker, WV · Community Health Worker 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 Jun 26, 2026. 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.