Jenny Umstot
Individual provider Active NPI Community Health Worker · Augusta, WV
NPI 1902490857 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1902490857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 268 Ervin LN
Augusta, WV 26704-7637 - Phone
- (301) 904-0855
- NPI assigned
- Feb 22, 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
268 Ervin LN
Augusta, WV 26704-7637
Mailing address
268 Ervin LN
Augusta, WV 26704-7637
Phone (301) 904-0855
Other providers in Augusta, WV
- Ivy Ann Stump
- Lori Lea Sutphin
- Sophia Timbrook
- Rachel Ann Twigg
- Sabrina Twigg
- Sarah Lea Vanmeter
- Jeannie Marie Voit
- Matthew Michael Welk
- Jeremy Whetzel
- Kristina Lynn Whetzel
All providers in Augusta, 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 22, 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.