Shawn Childers
Individual provider Active NPI Personal Care Attendant · Huntington, WV
NPI 1992574792 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1992574792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 10 6TH Ave W
Huntington, WV 25701-0028 - Phone
- (304) 525-8014
- NPI assigned
- Dec 21, 2023
- Sex
- Male
- 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
10 6TH Ave W
Huntington, WV 25701-0028
Mailing address
10 6TH Ave W
Huntington, WV 25701-0028
NPI Registry JSON
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1992574792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 6TH AVE W",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257010028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 6TH AVE W",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257010028",
"telephone_number": "304-525-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
- Jodi L Childers
- Kristina M. Childers
- Mark Childers
- Miranda Childers
- Sandy Lynn Childers
- Tiffany Denise Childers
- Meghan Chill
- Leah Ching
- Terra Chinn
- Pamela Chirgwin
All providers in Huntington, 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 Dec 21, 2023. 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.