SHARON VAUGHAN SLACK (NPI# 1174131353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174131353 |
Entity Type | Individual |
Full Name | SHARON VAUGHAN SLACK |
Practice Address |
15 Bank St Clay WV 25043 |
Mailing Address |
Po Box 835 Clay WV 25043-0835 |
Practice Telephone | 3045879992 |
Mailing Telephone | 3045879992 |
Enumeration Date | 2020-07-14 |
Last Update Date | 2020-07-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 79188 | WV | Nursing Service Providers |
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
79188 | WV | Nursing Service Providers |
Street Address |
15 BANK ST |
City | CLAY |
State | WV |
Zip Code | 25043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538517354 | Barbara Ballash | Psychologist | 1500 Clay Hwy #101, Clay, WV 25043 | 2016-06-02 |
1457640583 | Larry Simmons | Pharmacist | 173 Main Street, Clay, WV 25043 | 2011-03-29 |
1245418946 | Michelle Haddox | Speech-Language Pathologist | 285 Church Street, Clay, WV 25043 | 2008-02-05 |
1467652453 | Clay County Schools | Local Education Agency (LEA) | #1 Gump Street, Clay, WV 25043 | 2007-07-19 |
1801914536 | Total Life Clinicians | Community/Behavioral Health | 168 Church Street, Clay, WV 25043 | 2007-03-27 |
1295872018 | Clay County Ambulance Services | Ambulance | 464 Main St., Clay, WV 25043 | 2007-01-31 |
1649322074 | Gary M Bowen II | Dentist | 319 Main St., Clay, WV 25043 | 2007-01-17 |
1922194760 | Stephanie Johnson | Occupational Therapist | 242 Church St., Clay, WV 25043 | 2006-10-05 |
1437160033 | Highland Behavioral Health Services Inc | Clinic/Center | 163 Main Street, Clay, WV 25043 | 2006-08-10 |
1801803465 | Clay County Board of Health | Public Health or Welfare | 452 Main St, Clay, WV 25043 | 2006-08-03 |
Find all providers in zip 25043 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184096182 | Michael Keith Long | Registered Nurse | 606 N Kanawha St, Beckley, WV 25801-3819 | 2015-10-29 |
1558633461 | Robert R Elbon Jr. | Registered Nurse | 228 4th St, Elkins, WV 26241-3839 | 2012-02-08 |
1346420684 | Nikki Mclean Huff | Registered Nurse | Rr 1 Box 251c, Glenwood, WV 25520-9712 | 2007-11-04 |
1710201447 | Marvella June Jones | Registered Nurse | 3744 Teays Valley Rd, Suite 209, Hurricane, WV 25526-8755 | 2010-03-24 |
Please comment or provide details below to improve the information on SHARON VAUGHAN SLACK.
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.