Individual provider Active NPI

Katie Kristina Dotson

  • Personal Care Attendant
  • Clarksburg, WV
National Provider Identifier
1942897053
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
89 Wilkinson St
Clarksburg, WV 26301-5953
Phone
(304) 695-0072
NPI assigned
Dec 22, 2020
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X WV Primary

Addresses

Primary practice location

89 Wilkinson St
Clarksburg, WV 26301-5953

Mailing address

122 Summit Oak LN
Clarksburg, WV 26301-5979
Phone (304) 695-0072

Other practice location 1

122 Summit Oak Ln
Clarksburg, WV 26301-5979
Phone (304) 695-0072

Other practice location 2

122 Summit Oak Ln
Clarksburg, WV 26301-5979

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1942897053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SUMMIT OAK LN",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015979",
            "telephone_number": "304-695-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 WILKINSON ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015953",
            "telephone_number": "304-695-0072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Summit Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "WV",
            "postal_code": "263015979",
            "country_code": "US",
            "telephone_number": "304-695-0072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Summit Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "WV",
            "postal_code": "263015979",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "KATIE",
        "middle_name": "KRISTINA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.