Lisa Ann Watts
Individual provider Active NPI Personal Care Attendant · Rio, WV
NPI 1972334415 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1972334415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 135 Mountain View Orchard LN
Rio, WV 26755-6600 - Phone
- (304) 897-6460
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
135 Mountain View Orchard LN
Rio, WV 26755-6600
Mailing address
135 Mountain View Orchard LN
Rio, WV 26755-6600
Phone (304) 897-6460
Other providers in Rio, WV
- Brian L Koschorreck
- Wesley Alan Landis
- Kimberly Grace Miller
- Naomi Riggleman
- Paige Shingler
- Samantha Wilkinson
All providers in Rio, WV · Personal Care Attendant 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 Aug 7, 2024. 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.