LISA FANNIN


Address: 79 Andover Ln, Charleston, WV 25320-7770
Phone: 3045425955

LISA FANNIN (NPI# 1346850245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346850245
Entity Type Individual
Full Name LISA FANNIN
Practice Address 79 Andover Ln
Charleston
WV 25320-7770
Practice Telephone 3045425955
Mailing Telephone 3045425955
Enumeration Date 2020-08-05
Last Update Date 2020-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Providers LISA FANNIN

NPI Name Taxonomy Address Enumeration
1558806281 Lisa Fannin Speech-Language Pathologist 325 Colony Rd, Newport News, VA 23602-6342 2017-01-04
1003112871 Lisa Fannin Speech-Language Pathologist 728 Nancy Dr, Ripon, CA 95366-3310 2011-01-26
1154884179 Lisa Fannin Social Worker 750 E Long St Ste 3000, Columbus, OH 43203-1874 2019-04-08

Office Location

Street Address 79 ANDOVER LN
City CHARLESTON
State WV
Zip Code 25320-7770

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790382190 Liquitta Gibson Technician 7142 Sissonville Dr, Charleston, WV 25320 2020-10-08
1265778617 Jeanie Lou Smith Occupational Therapy Assistant 302 Ceder Ridge Rd., Sissonville, WV 25320 2012-12-12
1346855533 Vanessa Ann Counts Technician 5231 Legg Fork Rd, Sissonville, WV 25320-5557 2020-09-14
1104336973 Megan E Bowman Speech-Language Pathologist 87 Old Horse Hill Rd, Sissonville, WV 25320-5760 2017-10-06
1720699846 Thomas Arthur Fisher Technician 907 Haines Branch Rd, Charleston, WV 25320-7187 2020-08-12
1417348707 Ashley Slater Occupational Therapy Assistant 600 Hicumbottom Run Rd, Sissonville, WV 25320-7196 2015-02-09
1013535277 Strarting Somewhere Corp Prevention Professional 1626 Poca River Rd, Charleston, WV 25320-7236 2020-07-13
1013515337 Kelly Renee Cottrell Technician 504 Jenna Way, Sissonville, WV 25320-9311 2020-10-09
1144276197 Glenmark Associates, Inc Non-emergency Medical Transport (VAN) 302 Cedar Ridge Rd, Sissonville, WV 25320-9502 2006-05-25
1255964631 Caitlin Drakos Speech-Language Pathologist 302 Cedar Ridge Rd, Sissonville, WV 25320-9502 2020-02-13
Find all providers in zip 25320

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568063402 Jovon Minimah-beane Technician 612 Virginia St E Ste 300, Charleston, WV 25301-2175 2020-11-06
1811598832 Jessica Nogoda Technician 1002 Hillcrest Dr E, Charleston, WV 25311-1612 2020-11-05
1245831221 Jeriaha Hall Technician 2511 Washington St E Apt C, Charleston, WV 25311-2316 2020-11-05
1679174957 Shasta Lashea Evans Technician 5916 Starling Dr, Charleston, WV 25306-6045 2020-11-04
1184225476 Darlene Lacy-carter Technician 1406 Milton Street, Charleston, WV 25311 2020-11-04
1851992135 Shonda Latoya Leach Technician 821 Westminister Way, Charleston, WV 25314-2015 2020-11-04
1265033559 Nancy Galvan Technician 4587 Kanawha State Forrest Dr., Charleston, WV 25314 2020-11-04
1093316424 Emma Mccloud Technician 710 Colony Dr., Charleston, WV 25314 2020-11-03
1760083190 Terri Lea James Technician 5810 Church Dr., Charleston, WV 25306 2020-11-03
1649871963 Sha'la Wright Technician 713 Orchard Street Apt. G, Charleston, WV 25302 2020-11-03
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25320

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Dataset Information

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.

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