Caitlin Grace
Individual provider Active NPI Community Health Worker · Fort Gay, WV
NPI 1851985261 · NPPES record last updated Feb 25, 2021
Key facts
- NPI
- 1851985261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 281 Panther Branch Rd
Fort Gay, WV 25514-8187 - Phone
- (304) 962-6898
- NPI assigned
- Feb 25, 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
281 Panther Branch Rd
Fort Gay, WV 25514-8187
Mailing address
281 Panther Branch Rd
Fort Gay, WV 25514-8187
Other providers in Fort Gay, WV
- Fort Gay Volunteer Fire Department
- Melissa Ann Frazier
- Anna Lynn Garn
- Harriet Clementine Gibson
- Samantha Rena Goyette
- Cassandra Ireland Hamilton
- Donna Hardy
- Angela Harper
- Tiffany Hermann
- Samantha Nichole Hodge
All providers in Fort Gay, 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 Feb 25, 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.