Michelle Gum
Individual provider Active NPI Community Health Worker · Salem, WV
NPI 1962087205 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1962087205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1178 New Creek Rd
Salem, WV 26426-8557 - Phone
- (304) 663-6206
- NPI assigned
- Mar 17, 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
1178 New Creek Rd
Salem, WV 26426-8557
Mailing address
1178 New Creek Rd
Salem, WV 26426-8557
Phone (304) 663-6206
Other providers in Salem, WV
- Rachel Gain
- Theresa Garris
- Amanda Faye Gogan
- Jaxtyn T Gray
- Randall L Greynolds
- Lori Marie Haldeman
- Cheyenne R Haley
- Amber D Hall-McIntyre
- Brittany Marie Hanshew
- Marla Annette Harman
All providers in Salem, 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 17, 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.