Amanda Spaulding
Individual provider Active NPI Community Health Worker · Kermit, WV
NPI 1942895891 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1942895891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1861 Hidden Valley
Trailer 2
Kermit, WV 25674 - Phone
- (304) 393-9255
- NPI assigned
- Mar 3, 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
1861 Hidden Valley
Trailer 2
Kermit, WV 25674
Mailing address
PO Box 186
Kermit, WV 25674-0186
Phone (304) 393-9255
Other providers in Kermit, WV
- Jessica Lynn Salmons
- Rhoda Salmons
- Charles Edward Sammons
- Regina Denise Sammons
- Regina Sue Savage
- April Spaulding
- Betty Lois Spaulding
- Courtney Dawn Spaulding
- Larissa Stacy
- Linda Gail Stacy
All providers in Kermit, 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 Mar 3, 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.