LIQUITTA GIBSON (NPI# 1790382190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790382190 |
| Entity Type | Individual |
| Full Name | LIQUITTA GIBSON |
| Practice Address |
7142 Sissonville Dr Charleston WV 25320 |
| Practice Telephone | 3045453455 |
| Mailing Telephone | 3045453455 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| 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 |
7142 SISSONVILLE DR |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1346850245 | Lisa Fannin | Technician | 79 Andover Ln, Charleston, WV 25320-7770 | 2020-08-05 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
| City | CHARLESTON |
| Zip Code | 25320 |
Please comment or provide details below to improve the information on LIQUITTA GIBSON.
| 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.