Cynthia Raines
Individual provider Active NPI Community Health Worker · Cross Lanes, WV
NPI 1972197812 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1972197812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 5280 Dalewood Dr
Cross Lanes, WV 25313-1704 - Phone
- (304) 767-8749
- NPI assigned
- Feb 22, 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
5280 Dalewood Dr
Cross Lanes, WV 25313-1704
Mailing address
5280 Dalewood Dr
Cross Lanes, WV 25313-1704
Phone (304) 767-8749
Other providers in Cross Lanes, WV
- Courtney Preston
- Pro Careers, Inc
- Psychological Consultation and Assessment
- Matthew Purdy
- Ishaneah Raimo
- Alexis Ramsey
- Jennifer A Ramsey
- Sarah Randolph
- Sara N Raynes
- Catrina Redman
All providers in Cross Lanes, 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 22, 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.