Melissa Avis
Individual provider Active NPI Community Health Worker · Holden, WV
NPI 1982280178 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1982280178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 159 Hillcrest Haven Dr
Holden, WV 25625 - Phone
- (304) 688-9193
- NPI assigned
- Mar 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
159 Hillcrest Haven Dr
Holden, WV 25625
Mailing address
PO Box 123
Holden, WV 25625-0123
Phone (304) 688-9193
Other providers in Holden, WV
- Ralph James Adkins
- Andrea Lynn Affolter
- Eugene Bailey
- Amelia Bradshaw
- Dawn Bumgarner
- Garnet Marie Burger
- Rely C Carbonel
All providers in Holden, 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 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.