MRS. PATSY SAMPLES (NPI# 1538645718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538645718 |
| Entity Type | Individual |
| Full Name | MRS. PATSY SAMPLES |
| Other Name | PATSY WOMACK |
| Credential | PCA |
| Practice Address |
3067 State Rt 34s Hurricane WV 25526 |
| Practice Telephone | 3045620482 |
| Mailing Telephone | 3045620482 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 | 3810000191 | 01 |
| Street Address |
3067 STATE RT 34S |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| 1538618327 | Mikella Anderson | Occupational Therapist | 179 Station Place Suite 100, Hurricane, WV 25526 | 2016-09-22 |
| Find all providers in zip 25526 | ||||
| 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 |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1851908461 | Angela Dawn Monhollen | Technician | 11 Lee Cir, Hurricane, WV 25526-9400 | 2020-09-28 |
| 1437765294 | Michael E Simpson | Technician | 76 Willowood Cir, Hurricane, WV 25526-9268 | 2020-09-17 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1205447026 | Billy Conn Pack | Technician | 3748 Cambridge Dr, Hurricane, WV 25526-8922 | 2020-08-14 |
| 1801407853 | Dinah Lee Johnson | Technician | 20 Vicky Ln, Hurricane, WV 25526-1528 | 2020-08-13 |
| 1568073450 | Gloria Lynn Linville | Technician | 6 Greenbrier Ave, Hurricane, WV 25526-9296 | 2020-08-13 |
| 1831700889 | Kimberly Leeber | Technician | 166 Willow Tree Way Apt 207, Hurricane, WV 25526-1093 | 2020-08-13 |
| 1750992871 | Christie Dawn Edwards | Technician | 2602 Virginia Ave, Hurricane, WV 25526-1121 | 2020-08-12 |
| 1881205177 | Pamela S Mcgue | Technician | 2229 Chestnut St, Hurricane, WV 25526-9247 | 2020-08-11 |
| Find all providers in HURRICANE | ||||
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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.