Amanda Jean Haller

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

504 Walnut St
Grafton, WV 26354-1751

Phone

(304) 918-7002

NPI assigned

Dec 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1952997496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 WALNUT ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 WALNUT ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541751",
            "telephone_number": "304-918-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla J. Gregory, PA
• Sean J. Griffith, CRNA
• Connie Guido
• Janet Haddix
• Holly Haldeman-Collins, DDS
• Cynthia Louise Harper, MSW, LGSW
• Nathan David Harshberger, ATC
• Christen Heflin
• Shawn Michael Hendershot
• Courtney Dawn Henry

• Personal Care Attendant in Grafton, WV
• Providers in Grafton, 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 18, 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.