MS. CAROL KAY FULLER (NPI# 1417462896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417462896 |
| Entity Type | Individual |
| Full Name | MS. CAROL KAY FULLER |
| Other Name | MS. CAROL KAY SOWARDS |
| Credential | PCA |
| Practice Address |
925 Chestnut Street Kenova WV 25530 |
| Practice Telephone | 3044534296 |
| Mailing Telephone | 3043564562 |
| Mailing Fax Number | 3045584563 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PROVIDER ID | 0033631000 | 01 |
| Street Address |
925 CHESTNUT STREET |
| City | KENOVA |
| State | WV |
| Zip Code | 25530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396121 | Amanda Carter | Technician | 1624 Beech St, Kenova, WV 25530 | 2019-10-03 |
| 1063928026 | Robert Mckinley Ross | Technician | 2100 Sycamore Street, Kenova, WV 25530 | 2017-12-28 |
| 1801280011 | Michels' Counseling and Consulting | Community/Behavioral Health | 4600 A Rt 152, Wayne, WV 25530 | 2015-03-25 |
| 1104047000 | Rita M. Vaughn | Counselor | 802 Oak St, Kenova, WV 25530 | 2007-05-01 |
| 1598823684 | Sandi Kiser Griffith | Psychologist | 748 Beech St, Kenora, WV 25530 | 2006-12-04 |
| 1174611818 | Elizabeth Marilynn Feltner | Podiatrist | 1102 Poplar Street, Kenova, WV 25530 | 2006-10-10 |
| 1366093676 | Jamie Lowe | Technician | 1218 Chestnut St, Kenova, WV 25530 | 2019-09-27 |
| 1043706484 | Contemplations Behavioral Health Services Ltd. Co. | Counselor | 802 Oak St, Kenova, WV 25530 | 2018-07-09 |
| 1215171475 | Larry Eugene Smith Jr. | Physical Therapy Assistant | 1612 Oak St, Kenova, WV 25530-1118 | 2009-04-30 |
| 1396814869 | Tracy Lynn Hayton | Dental Hygienist | 1702 Oak St, Kenova, WV 25530-1120 | 2006-11-07 |
| Find all providers in zip 25530 | ||||
| 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 |
|---|---|---|---|---|
| 1477153872 | Joy Christopher | Technician | 2113 Sycamore St, Kenova, WV 25530-1662 | 2020-10-27 |
| 1760080303 | Pamela Hodge | Technician | 41 Pine Hill Estates Rd, Kenova, WV 25530-9736 | 2020-10-15 |
| 1578176392 | Brandy Rose | Technician | 1211 Oak St, Kenova, WV 25530-1334 | 2020-08-31 |
| 1972115913 | Sue Ellen Estep | Technician | 2508d Hutchinson Branch Rd, Kenova, WV 25530-9753 | 2020-08-20 |
| 1417566845 | Barbara Blankenship | Technician | 8 Darling Ln, Kenova, WV 25530-9514 | 2020-07-31 |
| 1245849769 | Breanna Nicole Brewer | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-07-30 |
| 1063928026 | Robert Mckinley Ross | Technician | 2100 Sycamore Street, Kenova, WV 25530 | 2017-12-28 |
| 1780284463 | Latisha Mae Wooten | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-30 |
| 1619577434 | Larry Kenneth Smith | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-30 |
| 1407456478 | D'wan Laranso Wheeler | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-29 |
| Find all providers in KENOVA | ||||
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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.