Rebecca Moyers
Individual provider Active NPI Community Health Worker · Brandywine, WV
NPI 1801474580 · NPPES record last updated Apr 1, 2021
Key facts
- NPI
- 1801474580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 11873 Blue Gray TRL
Brandywine, WV 26802-8011 - Phone
- (304) 902-0876
- NPI assigned
- Apr 1, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
11873 Blue Gray TRL
Brandywine, WV 26802-8011
Mailing address
11873 Blue Gray TRL
Brandywine, WV 26802-8011
Phone (304) 902-0876
Other providers in Brandywine, WV
- Charles Frame
- Connor Hedrick
- Sherry Louise Helmick
- Malayah Kuykendall
- Kayla Nicole Mace
- Zazi Muller
- Pendleton Community Care Inc
- Bethany Perez
- Evangelina Reyes
- Katelyn Elizabeth Scott
All providers in Brandywine, 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 Apr 1, 2021. 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.