SHASTA DAWN WHITT (NPI# 1760096671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760096671 |
| Entity Type | Individual |
| Full Name | SHASTA DAWN WHITT |
| Practice Address |
154 Bowser Rd Gallipolis Ferry WV 25515-6557 |
| Practice Telephone | 6812370144 |
| Mailing Telephone | 6812370144 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| 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 |
154 BOWSER RD |
| City | GALLIPOLIS FERRY |
| State | WV |
| Zip Code | 25515-6557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829995 | Amanda Rice | Technician | 353 Frost Lane, Gallipolis Ferry, WV 25515 | 2020-10-22 |
| 1083213839 | Bobbie Jean Plants | Technician | 852 Plymale Lane, Gallipolis Ferry, WV 25515 | 2020-10-22 |
| 1982203642 | Norma Dell Reiser | Technician | 262 Mccollough Road, Gallipolis Ferry, WV 25515 | 2020-10-22 |
| 1922611524 | Ellen Irene Egnor | Technician | 241 Frost Lane, Gallipolis Ferry, WV 25515 | 2020-08-25 |
| 1306351630 | Molly Joanna Coleman | Technician | 63 Cardinal Lane, Gallopis Ferry, WV 25515 | 2017-12-08 |
| 1194020677 | Valley Health Systems Inc | Family Medicine | 15167 Huntington Road, Gallipolis Ferry, WV 25515 | 2011-01-14 |
| 1760758056 | Valley Health Systems, Inc. | Dentist | 15167 Huntington Road, Gallipolis Ferry, WV 25515 | 2012-03-30 |
| 1053685537 | Valley Health Systems, Inc. | Dentist | 15167 Huntington Road, Gallipolis Ferry, WV 25515 | 2012-03-01 |
| 1407128168 | Valley Health Systems, Inc. | Family Medicine | 15167 Huntington Road, Gallipolis Ferry, WV 25515 | 2012-01-27 |
| 1801406756 | Trudy Darlene Kelly | Technician | 3937 Mount Carmel Rd, Gallipolis Ferry, WV 25515-1505 | 2020-08-05 |
| Find all providers in zip 25515 | ||||
| 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 |
|---|---|---|---|---|
| 1144829995 | Amanda Rice | Technician | 353 Frost Lane, Gallipolis Ferry, WV 25515 | 2020-10-22 |
| 1083213839 | Bobbie Jean Plants | Technician | 852 Plymale Lane, Gallipolis Ferry, WV 25515 | 2020-10-22 |
| 1982203642 | Norma Dell Reiser | Technician | 262 Mccollough Road, Gallipolis Ferry, WV 25515 | 2020-10-22 |
| 1053925289 | Jennifer Nicole Patterson | Technician | 124 Cody Ln, Gallipolis Ferry, WV 25515-9573 | 2020-09-04 |
| 1962016063 | Jennifer Michelle Simpkins | Technician | 5481 Wood School Rd, Gallipolis Ferry, WV 25515-6032 | 2020-09-04 |
| 1922611524 | Ellen Irene Egnor | Technician | 241 Frost Lane, Gallipolis Ferry, WV 25515 | 2020-08-25 |
| 1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
| 1114539020 | Jessica Burris | Technician | 278 Mcguffin Ln, Gallipolis Ferry, WV 25515-7175 | 2020-08-21 |
| 1891305850 | Eugenia Ann Kelly | Technician | 54 Eternity Ln, Gallipolis Ferry, WV 25515-9780 | 2020-08-05 |
| 1801406756 | Trudy Darlene Kelly | Technician | 3937 Mount Carmel Rd, Gallipolis Ferry, WV 25515-1505 | 2020-08-05 |
| Find all providers in GALLIPOLIS FERRY | ||||
| City | GALLIPOLIS FERRY |
| Zip Code | 25515 |
Please comment or provide details below to improve the information on SHASTA DAWN WHITT.
| 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.