Vicky Petron

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1654 Oregon Ave
Fairmont, WV 26554-3379

Phone

(239) 738-8803

NPI assigned

Dec 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1932705100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 OREGON AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543379",
            "telephone_number": "239-738-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 OREGON AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543379",
            "telephone_number": "239-738-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRON",
        "first_name": "VICKY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "982144",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpetron@marionseniors.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "1654 Oregon Ave",
            "city": "Fairmont",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265543379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Davis Perperas, MA
• Jamie L Perrine
• Charles Pethtel Jr.
• Megan Brooke Pethtel, PTA
• Katie Marie Petrisin, PHARM.D.
• Tania L Petry, BS
• Tess E Pettis
• Nicole Pettit, LMT
• Camille Lourdes Peyatt, BA
• Angela Phares

• Personal Care Attendant in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.