TERESA LEE CANTRELL (NPI# 1982214508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982214508 |
| Entity Type | Individual |
| Full Name | TERESA LEE CANTRELL |
| Practice Address |
7245 Beech Creek Matewan WV 25678 |
| Practice Telephone | 3044269007 |
| Mailing Telephone | 3044269007 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-09-03 |
| 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 |
7245 BEECH CREEK |
| City | MATEWAN |
| State | WV |
| Zip Code | 25678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163226 | Justin Marcum | Technician | 135 Lynn Bottom, Matewan, WV 25678 | 2020-10-30 |
| 1508466327 | Jasmine Bailey | Technician | 40 Belmont Drive, Matewan, WV 25678 | 2020-10-30 |
| 1831798651 | Lindsey Easter Daniels | Technician | 79 Simpkins Drive, Matewan, WV 25678 | 2020-10-22 |
| 1093314833 | Amya Bell | Technician | 24 Riverview Drive, Matewan, WV 25678 | 2020-10-22 |
| 1871104026 | Amanda Sue Adams | Technician | 37 Sulphur Creek, Matewan, WV 25678 | 2020-08-12 |
| 1366053621 | Krystal Nicole Curry | Technician | 1234 Mate Creek Road, Matewan, WV 25678 | 2020-08-11 |
| 1285728188 | Jerry Mounts Dds, Inc | Dentist | Mate Street, Matewan, WV 25678 | 2006-10-03 |
| 1174621916 | Appalachian Regional Healthcare Inc | Pharmacy | 7 Matewan St, Matewan, WV 25678 | 2006-09-20 |
| 1982680211 | Appalachian Regional Healthcare Inc. | Pharmacy | 7 Matwan Street, Matewan, WV 25678 | 2005-12-19 |
| 1164824868 | Jerry Mounts | Dentist | 1 Mate Street, Matewan, WV 25678-0537 | 2014-09-24 |
| Find all providers in zip 25678 | ||||
| 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 |
|---|---|---|---|---|
| 1578163226 | Justin Marcum | Technician | 135 Lynn Bottom, Matewan, WV 25678 | 2020-10-30 |
| 1508466327 | Jasmine Bailey | Technician | 40 Belmont Drive, Matewan, WV 25678 | 2020-10-30 |
| 1295335685 | Kathy Lynn Bowling | Technician | 1109 Route 49, Matewan, WV 25678-7992 | 2020-10-27 |
| 1831798651 | Lindsey Easter Daniels | Technician | 79 Simpkins Drive, Matewan, WV 25678 | 2020-10-22 |
| 1093314833 | Amya Bell | Technician | 24 Riverview Drive, Matewan, WV 25678 | 2020-10-22 |
| 1053925966 | Amanda White | Technician | 902 Route 49, Matewan, WV 25678-7837 | 2020-09-08 |
| 1285248104 | Deborah Kay Williams | Technician | 935 Route 49, Matewan, WV 25678-7836 | 2020-09-08 |
| 1518571553 | Gwendolyn Joan Thornsbury | Technician | 100 Warm Holw, Matewan, WV 25678-6501 | 2020-09-08 |
| 1841802626 | Darrell Lee Fouch | Technician | 17 Buck Ln, Matewan, WV 25678-7823 | 2020-08-21 |
| 1104438993 | Joye L Gooslin | Technician | 5 Ivory St, Matewan, WV 25678-1401 | 2020-08-21 |
| Find all providers in MATEWAN | ||||
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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.