Individual provider Active NPI

Angela Michelle Proctor

  • Home Health Aide
  • Parkersburg, WV
National Provider Identifier
1912780818
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
NONE Issued in OH
Practice address
2503 Beverly St Apt 1B
Parkersburg, WV 26101-7151
Phone
(703) 843-4643
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X NONE OH
Personal Care Attendant 3747P1801X NONE OH
Home Health Aide 374U00000X NONE OH Primary

Addresses

Primary practice location

2503 Beverly St Apt 1B
Parkersburg, WV 26101-7151

Mailing address

2503 Beverly St Apt 1B
Parkersburg, WV 26101-7151
Phone (703) 843-4643

Other practice location 1

2126 McTaggart St
Belpre, OH 45714-1910
Phone (703) 843-4643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1912780818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 BEVERLY ST APT 1B",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261017151",
            "telephone_number": "703-843-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 BEVERLY ST APT 1B",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261017151",
            "telephone_number": "703-843-4643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2126 McTaggart St",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141910",
            "country_code": "US",
            "telephone_number": "703-843-4643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "OH",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.