Amanda Blackburn
Individual provider Active NPI Personal Care Attendant · Lenore, WV
NPI 1992391684 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1992391684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- PO Box 306
Lenore, WV 25676-0306 - Phone
- (304) 836-5505
- NPI assigned
- Dec 16, 2020
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
PO Box 306
Lenore, WV 25676-0306
Mailing address
PO Box 306
Lenore, WV 25676-0306
Phone (304) 836-5505
Other providers in Lenore, WV
- Scott Allen Artis
- Stacy Ball
- Joyce Gail Brown
- Brenda Kay Cable
- Orville Canterbury
- Mary Chafin
- William Curtis Copley
All providers in Lenore, 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 15, 2025. 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.