JIMMY LYNN EAGLE (NPI# 1407466014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407466014 |
| Entity Type | Individual |
| Full Name | JIMMY LYNN EAGLE |
| Practice Address |
24 Hemlock Dr Beverly WV 26253-4554 |
| Mailing Address |
501 Wilson Ln Elkins WV 26241-5216 |
| Practice Telephone | 3046369326 |
| Mailing Telephone | 3046369326 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| 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 |
24 HEMLOCK DR |
| City | BEVERLY |
| State | WV |
| Zip Code | 26253-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396355905 | Zachery Lee Eagle | Technician | 24 Hemlock Dr, Beverly, WV 26253-4554 | 2020-08-07 |
| 1750991360 | Kimberly Dawn Eagle | Technician | 24 Hemlock Dr, Beverly, WV 26253-4554 | 2020-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774146 | Mandy Cunningham | Technician | 28 Cannonball Lane, Beverly, WV 26253 | 2020-09-10 |
| 1255940375 | Tina Lynne Hill | Technician | 150 Chapman Hollow, Beverly, WV 26253 | 2020-07-24 |
| 1447808605 | Maureen Catherine Farrell | Midwife | 1474 Knapp Hollow Road, Beverly, WV 26253 | 2019-08-30 |
| 1225160575 | David Allen Proctor | Family Medicine | 1 Whitetail Cove, Beverly, WV 26253 | 2007-03-12 |
| 1790397214 | Polly Boltz | Technician | 150 Chapman Hollow, Beverly, WV 26253 | 2020-08-17 |
| 1689285496 | Heather Cutright | Technician | 2955 Seneca Trl, Beverly, WV 26253-1105 | 2020-08-14 |
| 1679183271 | Brittany Ann Richards | Technician | 35 Park Two Dr, Beverly, WV 26253-1107 | 2020-08-07 |
| 1124630504 | Dennis Lester | Technician | 19 Lee St, Beverly, WV 26253-1126 | 2020-08-18 |
| 1306457676 | Brittany Paige Mayo | Technician | 58 Park Two Dr, Beverly, WV 26253-1150 | 2020-08-11 |
| 1003426677 | William Martin | Technician | 20 Jada Dr, Beverly, WV 26253-1304 | 2020-08-07 |
| Find all providers in zip 26253 | ||||
| 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 |
|---|---|---|---|---|
| 1104433614 | Holly Welch | Technician | 5 Dixie St, Beverly, WV 26253-8935 | 2020-09-29 |
| 1831706340 | Victoria Scott | Technician | 302 Lonesome Holw, Beverly, WV 26253-4648 | 2020-09-29 |
| 1417563156 | Patricia Guenette | Technician | 39 Jada Dr, Beverly, WV 26253-1306 | 2020-09-18 |
| 1538774146 | Mandy Cunningham | Technician | 28 Cannonball Lane, Beverly, WV 26253 | 2020-09-10 |
| 1366057283 | Rose Ellison | Technician | 3394 Files Creek Rd, Beverly, WV 26253-4738 | 2020-09-09 |
| 1033723770 | Michael Cutright | Technician | 98 Butterfly Ln, Beverly, WV 26253-4795 | 2020-09-01 |
| 1124630504 | Dennis Lester | Technician | 19 Lee St, Beverly, WV 26253-1126 | 2020-08-18 |
| 1891307393 | Nathienal Wayne Lattea | Technician | 16 Discovery Ln, Beverly, WV 26253-8929 | 2020-08-18 |
| 1689285496 | Heather Cutright | Technician | 2955 Seneca Trl, Beverly, WV 26253-1105 | 2020-08-14 |
| 1407467723 | Delores Cave | Technician | 143 Hemlock Dr, Beverly, WV 26253-4556 | 2020-08-11 |
| Find all providers in BEVERLY | ||||
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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.