Kimberley Nicewarner
Individual provider Active NPI Community Health Worker · Falling Waters, WV
NPI 1972196913 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1972196913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 172 Antioch LN
Falling Waters, WV 25419-4705 - Phone
- (681) 242-9504
- NPI assigned
- Feb 19, 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
172 Antioch LN
Falling Waters, WV 25419-4705
Mailing address
172 Antioch LN
Falling Waters, WV 25419-4705
Other providers in Falling Waters, WV
- Rachel Matthews
- Tonya McClure
- Kimber Suzanne Middleton
- Mind Body Splendid Sun
- Christopher Mouser
- Robert Nicoletti
- Rachel Page
- Tracey Christine Parks
- Victoria Pauliuc
- Satariah Plant
All providers in Falling Waters, 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 Feb 19, 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.