MISTY ROSE THACKER (NPI# 1124633987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124633987 |
| Entity Type | Individual |
| Full Name | MISTY ROSE THACKER |
| Practice Address |
230 Webb Road Crum WV 25669 |
| Mailing Address |
Po Box 438 Crum WV 25669-0438 |
| Practice Telephone | 3043933130 |
| Mailing Telephone | 3043933130 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| 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 |
230 WEBB ROAD |
| City | CRUM |
| State | WV |
| Zip Code | 25669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611672 | Heather Angela Finley | Technician | 226 Riverbend Road, Crum, WV 25669 | 2020-08-24 |
| 1801046487 | Strosnider Drug | Pharmacy | Rt 52 Stonecoal, Crum, WV 25669 | 2008-09-19 |
| 1316084528 | Melissa Dawn Ledson | Physical Therapist | Us 52 Stonecoal Suite 2, Crum, WV 25669 | 2007-01-30 |
| 1356426944 | Justice Medical Complex | Family Medicine | Rr Box 330 Us Hwy 52, Kermit, WV 25669 | 2006-10-25 |
| 1780649087 | Rachel Sue Baisden | Nurse Practitioner | Us 52 Stone Coal, Crum, WV 25669-1011 | 2006-04-19 |
| 1689286734 | Geraldine Lynn Macura | Technician | 751 Upper Silver Creek Rd, Crum, WV 25669-8008 | 2020-08-20 |
| 1851990881 | Sabrina Faye Butterbach | Technician | 3866 River Bend Rd, Crum, WV 25669-8018 | 2020-10-21 |
| 1063019719 | Catherine Taylor | Technician | 194 Summers Fork Rd, Crum, WV 25669-8055 | 2020-10-06 |
| 1699388306 | Brenda Gail Moore | Technician | 1441 Right Fork Bull Creek Rd, Crum, WV 25669-8081 | 2020-08-24 |
| 1063023331 | Earlene Copley | Technician | 3818 Webb Rd, Crum, WV 25669-8092 | 2020-08-11 |
| Find all providers in zip 25669 | ||||
| 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 |
|---|---|---|---|---|
| 1851990881 | Sabrina Faye Butterbach | Technician | 3866 River Bend Rd, Crum, WV 25669-8018 | 2020-10-21 |
| 1215534987 | Cynthia Lynn Bowen | Technician | 3952 River Bend Rd, Crum, WV 25669-8125 | 2020-10-06 |
| 1063019719 | Catherine Taylor | Technician | 194 Summers Fork Rd, Crum, WV 25669-8055 | 2020-10-06 |
| 1295348944 | Stephanie Jude | Technician | 29 Pj Ln, Crum, WV 25669-8100 | 2020-08-24 |
| 1922611672 | Heather Angela Finley | Technician | 226 Riverbend Road, Crum, WV 25669 | 2020-08-24 |
| 1699388306 | Brenda Gail Moore | Technician | 1441 Right Fork Bull Creek Rd, Crum, WV 25669-8081 | 2020-08-24 |
| 1053923094 | Bethany Sue Farley | Technician | 7578 Webb Rd, Crum, WV 25669-8109 | 2020-08-20 |
| 1689286734 | Geraldine Lynn Macura | Technician | 751 Upper Silver Creek Rd, Crum, WV 25669-8008 | 2020-08-20 |
| 1659982544 | Elizabeth L Chaffin | Technician | 24 Chaffin Ln, Crum, WV 25669-8101 | 2020-08-13 |
| 1063023331 | Earlene Copley | Technician | 3818 Webb Rd, Crum, WV 25669-8092 | 2020-08-11 |
| Find all providers in CRUM | ||||
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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.