TRACI CATHLEEN ANDERSON (NPI# 1760030977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760030977 |
| Entity Type | Individual |
| Full Name | TRACI CATHLEEN ANDERSON |
| Credential | CNA |
| Practice Address |
544 S Seminary St Charles Town WV 25414-1347 |
| Mailing Address |
142 John Brown Farm Ct Harpers Ferry WV 25425-5723 |
| Practice Telephone | 3048391262 |
| Mailing Telephone | 7032200317 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942714399 | Traci Lynn Anderson | Speech-Language Pathologist | 103 E. Schoolhouse Road, Yorkville, IL 60560 | 2017-11-21 |
| 1598174096 | Traci Kane Anderson | Social Worker | 25198 Hickory Ln, Broken Arrow, OK 74014-3402 | 2014-08-08 |
| 1619911757 | Traci A Anderson | Family Medicine | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064-9404 | 2006-06-16 |
| 1265543045 | Traci Debord Anderson | Optometrist | 2301 W Wellesley Ave, Spokane, WA 99205-5004 | 2006-08-31 |
| Street Address |
544 S SEMINARY ST |
| City | CHARLES TOWN |
| State | WV |
| Zip Code | 25414-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757044 | Nancy Leigh Rodriguez | Technician | 544 S Seminary St, Charles Town, WV 25414-1347 | 2019-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687478 | E & A Pediatric Home Health Services | Home Health | 207 W. Washington Street, Charles Town, WV 25414 | 2020-10-23 |
| 1013435668 | Ashley Wertman | Physical Therapist | 46 Trifecta Place Ste 104, Charlestown, WV 25414 | 2017-09-05 |
| 1053763532 | Lisa Craft | Social Worker | 138 Wall Street, Charles Town, WV 25414 | 2016-07-07 |
| 1053782227 | Charles William Fellers Jr. | Physical Therapy Assistant | 50 Mulberry St, Charles Town, WV 25414 | 2015-10-14 |
| 1881015055 | Sara Fragale | Student in an Organized Health Care Education/Training Program | 100 Mordington Avenue, Charles Town, WV 25414 | 2013-12-13 |
| 1548519879 | Priyankar Sharma | Family Medicine | University Urgent Care, 912 Somerset Blvd., Suitre 102, Charles Town, WV 25414 | 2012-08-31 |
| 1528316957 | Citizens Fire Company | Ambulance | 245 Citizens Way, Charles Town, WV 25414 | 2012-08-15 |
| 1609101682 | Wendy K Joseph | Speech-Language Pathologist | 109 South College Street, Resa Viii, Martinsburg, WV 25414 | 2009-10-09 |
| 1457595738 | Brittany C Lamb | Speech-Language Pathologist | 50 Mulberry St., Charles Town, WV 25414 | 2009-04-30 |
| 1578703138 | Allison E Miller | Speech-Language Pathologist | 110 Ashby Street, Jefferson County Board of Education, Charles Town, WV 25414 | 2009-02-23 |
| Find all providers in zip 25414 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757044 | Nancy Leigh Rodriguez | Technician | 544 S Seminary St, Charles Town, WV 25414-1347 | 2019-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1003428475 | Kimberly Shreve | Technician | 100 Tallman Ave Apt 402, Elkins, WV 26241-3270 | 2020-08-18 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1366072852 | Delcina A Rogers | Technician | 202 Long Street, Parsons, WV 26287 | 2020-01-23 |
| 1316585938 | Katrina Myers | Technician | 192 Canaan Rd, Rock Cave, WV 26234-5853 | 2019-12-13 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1861038697 | Bonnie Jean Salyers | Technician | 275 Harts Creek Road #5, Verdunville, WV 25649 | 2019-11-27 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1497396121 | Amanda Carter | Technician | 1624 Beech St, Kenova, WV 25530 | 2019-10-03 |
| 1679114458 | Betty Bentley | Technician | 1588 Spring Valley Drive, Huntington, WV 25704 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | CHARLES TOWN |
| Zip Code | 25414 |
Please comment or provide details below to improve the information on TRACI CATHLEEN ANDERSON.
| 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.