Individual provider Active NPI

Peggy Lou Ice

  • Homemaker
  • Sutton, WV
National Provider Identifier
1982200960
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
101 2ND St Ste 201
Sutton, WV 26601-1303
Phone
(304) 765-3668
Fax
(304) 765-3697
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C.a.R.E Inc PastSince Dec 13, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

101 2ND St Ste 201
Sutton, WV 26601-1303

Mailing address

8 N Spring St
Buckhannon, WV 26201-2720
Phone (304) 644-4649

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL icepeggy9@gmail.com Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2020.

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1982200960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N SPRING ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012720",
            "telephone_number": "304-644-4649",
            "fax_number": "304-471-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND ST STE 201",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266011303",
            "telephone_number": "304-765-3668",
            "fax_number": "304-765-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICE",
        "first_name": "PEGGY",
        "middle_name": "LOU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "icepeggy9@gmail.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 2nd St Ste 201",
            "city": "Sutton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266011303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sutton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.