MARY HADERMAN (NPI# 1083227599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083227599 |
| Entity Type | Individual |
| Full Name | MARY HADERMAN |
| Practice Address |
100 Brady Rd Junior WV 26275 |
| Practice Telephone | 3046369396 |
| Mailing Telephone | 3046369396 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
100 BRADY RD |
| City | JUNIOR |
| State | WV |
| Zip Code | 26275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090227 | Stephanie Gomez | Technician | 113 Walnut Street, Junior, WV 26275 | 2020-10-16 |
| 1689285637 | Kimberly Ann Pharis | Technician | 417 West Center St, Junior, WV 26275 | 2020-08-13 |
| 1487265419 | Amanda Beohm | Technician | 20 Oak Ave, Junior, WV 26275 | 2020-08-13 |
| 1003019274 | Emily Joyce Grandusky | Counselor | 303 W. 6th Street, Junior, WV 26275-0324 | 2007-06-06 |
| 1114967650 | Anita Loraine Nesland | Occupational Therapist | 205 2nd St., Junior, WV 26275-0344 | 2006-06-06 |
| 1821249335 | Expectations Therapy Services, LLC | Clinic/Center | 205 2nd St., Junior, WV 26275-0344 | 2008-10-02 |
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090227 | Stephanie Gomez | Technician | 113 Walnut Street, Junior, WV 26275 | 2020-10-16 |
| 1689285637 | Kimberly Ann Pharis | Technician | 417 West Center St, Junior, WV 26275 | 2020-08-13 |
| 1487265419 | Amanda Beohm | Technician | 20 Oak Ave, Junior, WV 26275 | 2020-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.