JERRALD WAYNE BARKER (NPI# 1467078626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467078626 |
| Entity Type | Individual |
| Full Name | JERRALD WAYNE BARKER |
| Practice Address |
804 Industrial Park Rd Ste 1 Maxwelton WV 24957-8066 |
| Mailing Address |
Po Box 129 Maxwelton WV 24957-0129 |
| Practice Telephone | 3044970500 |
| Practice Fax Number | 3044972707 |
| Mailing Telephone | 3044970500 |
| Mailing Fax Number | 3044972707 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
804 INDUSTRIAL PARK RD STE 1 |
| City | MAXWELTON |
| State | WV |
| Zip Code | 24957-8066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508246307 | Samantha Grimmett | Social Worker | 804 Industrial Park Rd Ste 1, Maxwelton, WV 24957-8066 | 2015-06-05 |
| 1770109399 | Kathryn Dayle Keaton | Registered Nurse | 804 Industrial Park Rd Ste 1, Maxwelton, WV 24957-8066 | 2020-06-19 |
| 1972984490 | Seneca Health Services | Clinic/Center | 804 Industrial Park Rd Ste 1, Maxwelton, WV 24957-8066 | 2015-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528417946 | Rainelle Medical Center, Inc. | Clinic/Center | 390 Industrial Park, Maxwelton, WV 24957 | 2016-06-07 |
| 1285869032 | Lindsay F Taylor | Pharmacist | 804 Industrial Park Rd, Maxwelton, WV 24957-0142 | 2009-05-22 |
| 1073616132 | Joseph F Bee | Dentist | 274 Erin Lane, Maxwelton, WV 24957-0274 | 2006-09-06 |
| 1972120806 | Amy Allison Myers | Day Training/Habilitation Specialist | 804 Industrial Drive, Maxwelton, WV 24957-0804 | 2020-06-26 |
| 1902199532 | Anna C Stout-tuckwiller | Physician Assistant | 804 Industrial Park Rd, Maxwelton, WV 24957-8061 | 2011-05-16 |
| 1306362355 | Genoa Healthcare, LLC | Pharmacy | 804 Industrial Park Rd Rm 27, Maxwelton, WV 24957-8066 | 2017-08-21 |
| 1679747893 | Mary Ann Shires | Social Worker | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2008-04-18 |
| 1568070290 | Erica Brownfield | Case Manager/Care Coordinator | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-07-20 |
| 1609493253 | Marcus Algelo Brandon | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-30 |
| 1669099313 | Luke Crane | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-29 |
| Find all providers in zip 24957 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120806 | Amy Allison Myers | Day Training/Habilitation Specialist | 804 Industrial Drive, Maxwelton, WV 24957-0804 | 2020-06-26 |
| 1609493253 | Marcus Algelo Brandon | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-30 |
| 1669099313 | Luke Crane | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-29 |
| 1720605512 | Phyllis Nickell | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-29 |
| 1578180451 | Michelle Lorri Richards | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-26 |
| 1720605777 | Hailey Shae Mccallister | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-25 |
| 1942827902 | Susan Ann Barker | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-25 |
| 1053938027 | Amanda Hedrick | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-25 |
| 1295351351 | Lauren Thomas | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-24 |
| 1639795784 | George Timothy Sheppard | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-24 |
| Find all providers in MAXWELTON | ||||
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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.