RANDY BROOKS CRACE II (NPI# 1558974261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558974261 |
| Entity Type | Individual |
| Full Name | RANDY BROOKS CRACE II |
| Practice Address |
2484 Bills Creek Rd Winfield WV 25213-9415 |
| Practice Telephone | 3045930705 |
| Mailing Telephone | 3045930705 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| 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 |
2484 BILLS CREEK RD |
| City | WINFIELD |
| State | WV |
| Zip Code | 25213-9415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457338 | Briana Marie Washington | Social Worker | 3232 Winfield Road, Winfield, WV 25213 | 2020-08-13 |
| 1235749052 | Isaac Woods | Technician | 3245 Winfield Rd, Winfield, WV 25213 | 2020-08-06 |
| 1609418268 | Winfield Family Pharmacy | Pharmacy | 12044 Winfield Road, Winfield, WV 25213 | 2019-10-15 |
| 1326515024 | Sarah Jorgensen | Social Worker | 140 Rolling Acres, Winfield, WV 25213 | 2018-10-31 |
| 1245732965 | Tina Flora | Technician | 461 Harmon's Branch, Winfield, WV 25213 | 2018-03-08 |
| 1043712763 | Pamela Thomas | Technician | 498 Harmon's Branch, Winfield, WV 25213 | 2018-03-08 |
| 1275939829 | Sarah Michelle Swisher | Nurse Practitioner | 16 Dartmouth St, Winfield, WV 25213 | 2014-11-10 |
| 1346571353 | Generations R.c. Inc. | Physical Therapist | 12510 Winfield Road, Winfield, WV 25213 | 2010-01-15 |
| 1992031876 | Crystal Ray Hale | Nurse Anesthetist, Certified Registered | 41 Baker St, Winfield, WV 25213 | 2009-10-27 |
| 1285843193 | Joel P Fisher | Pharmacist | 3504 Winfield Rd, Winfield, WV 25213 | 2007-05-21 |
| Find all providers in zip 25213 | ||||
| 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 |
|---|---|---|---|---|
| 1750982773 | Sherry Lynn Wilhelm | Technician | 667 Erwin Rd, Winfield, WV 25213-7415 | 2020-11-05 |
| 1649878224 | Teresa Lynn Keeling | Technician | 312 Joshua Way, Winfield, WV 25213-9439 | 2020-10-15 |
| 1619583978 | Lydia C Jones | Technician | 4 Christy Ln, Winfield, WV 25213-9712 | 2020-09-21 |
| 1780295899 | Trina Louise Davis | Technician | 24 Bobcat Ln, Winfield, WV 25213-7325 | 2020-08-12 |
| 1235749052 | Isaac Woods | Technician | 3245 Winfield Rd, Winfield, WV 25213 | 2020-08-06 |
| 1245732965 | Tina Flora | Technician | 461 Harmon's Branch, Winfield, WV 25213 | 2018-03-08 |
| 1043712763 | Pamela Thomas | Technician | 498 Harmon's Branch, Winfield, WV 25213 | 2018-03-08 |
| 1003186081 | Brandon Kenyon Sams | Technician | 1317 Wheat Rd, Winfield, KS 67156-4703 | 2012-01-06 |
| 1235253964 | Andrea Louise Shepherd | Technician | 4417 S Pike Rd, Winfield, KS 67156-7286 | 2007-03-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.