NICKIA STAR RUNNER (NPI# 1255946943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255946943 |
| Entity Type | Individual |
| Full Name | NICKIA STAR RUNNER |
| Practice Address |
39 Bailey Dr Montrose WV 26283 |
| Mailing Address |
501 Wilson Ln Elkins WV 26241-5216 |
| Practice Telephone | 3046369326 |
| Mailing Telephone | 3046369326 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| 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 |
39 BAILEY DR |
| City | MONTROSE |
| State | WV |
| Zip Code | 26283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179818 | David Runner | Technician | 39 Bailey Dr, Montrose, WV 26283 | 2020-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952579963 | Susan R Abbott | Nurse Practitioner | 570 Hartman Holw, Montrose, WV 26283-1203 | 2008-02-12 |
| 1689284499 | Joyce Judy | Technician | 64 Kaylee Loop, Montrose, WV 26283-7063 | 2020-08-06 |
| 1700494390 | Kristina Yokum | Case Manager/Care Coordinator | 42 Wildwind Ln, Montrose, WV 26283-7076 | 2020-07-20 |
| 1033716923 | Kayla Taylor | Technician | 587 Sugar Run Rd, Montrose, WV 26283-7095 | 2020-10-05 |
| 1083222673 | Samantha Nelson | Technician | 13 Witek Dr, Montrose, WV 26283-7504 | 2020-07-20 |
| 1578177218 | Aleesha Marie Bookout | Technician | 1642 Pleasure Valley Rd, Montrose, WV 26283-8109 | 2020-09-01 |
| 1265044762 | Kayla Sullivan | Technician | 539 Carl Phillips Rd, Montrose, WV 26283-8656 | 2020-08-18 |
| 1366051161 | Rebecca Haynes | Case Manager/Care Coordinator | 66 Central Chapel Rd, Montrose, WV 26283-8676 | 2020-07-28 |
| 1780295923 | Karen Elaine Nestor | Technician | 3094 Seneca Trl, Montrose, WV 26283-8811 | 2020-08-12 |
| 1215548565 | Donna June Pierce | Technician | 100 Trail View Dr, Montrose, WV 26283-9310 | 2020-08-11 |
| Find all providers in zip 26283 | ||||
| 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 |
|---|---|---|---|---|
| 1033716923 | Kayla Taylor | Technician | 587 Sugar Run Rd, Montrose, WV 26283-7095 | 2020-10-05 |
| 1578177218 | Aleesha Marie Bookout | Technician | 1642 Pleasure Valley Rd, Montrose, WV 26283-8109 | 2020-09-01 |
| 1265044762 | Kayla Sullivan | Technician | 539 Carl Phillips Rd, Montrose, WV 26283-8656 | 2020-08-18 |
| 1780295923 | Karen Elaine Nestor | Technician | 3094 Seneca Trl, Montrose, WV 26283-8811 | 2020-08-12 |
| 1215548565 | Donna June Pierce | Technician | 100 Trail View Dr, Montrose, WV 26283-9310 | 2020-08-11 |
| 1427668037 | Sarah Jane Banks | Technician | 101 Cherry Loop, Montrose, WV 26283-9772 | 2020-08-07 |
| 1689284499 | Joyce Judy | Technician | 64 Kaylee Loop, Montrose, WV 26283-7063 | 2020-08-06 |
| 1083222673 | Samantha Nelson | Technician | 13 Witek Dr, Montrose, WV 26283-7504 | 2020-07-20 |
| 1578179818 | David Runner | Technician | 39 Bailey Dr, Montrose, WV 26283 | 2020-09-22 |
| 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.