NANCY PULTZ (NPI# 1790399459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790399459 |
| Entity Type | Individual |
| Full Name | NANCY PULTZ |
| Practice Address |
72 Windy Mountain Ln Sugar Grove WV 26815-7574 |
| Mailing Address |
501 Wilson Ln Elkins WV 26241-5216 |
| Practice Telephone | 3046369326 |
| Mailing Telephone | 3046369326 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| 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 |
72 WINDY MOUNTAIN LN |
| City | SUGAR GROVE |
| State | WV |
| Zip Code | 26815-7574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326147463 | Walter Reed National Military Med Center | Military/U.S. Coast Guard Pharmacy | Bmc Bldg 63, Sugar Grove, WV 26815 | 2006-09-22 |
| 1558567511 | Naval Information Operations | Clinic/Center | 63 Hedrick Dr, Sugar Grove, WV 26815-5000 | 2007-06-26 |
| 1346743481 | Sugar Grove Mbh-ga, LLC | Substance Abuse Rehabilitation Facility | 133 Hedrick Dr, Sugar Grove, WV 26815-5068 | 2018-03-15 |
| 1013529445 | Linda Marie Wimer | Technician | 510 Misty Mountain Dr, Sugar Grove, WV 26815-7084 | 2020-08-18 |
| 1497366801 | Patricia A. Rexrode | Technician | 2709 Thorn Creek Rd, Sugar Grove, WV 26815-7528 | 2020-08-11 |
| 1730368226 | Jack Arnold Bowers | Dentist | Hc 63 Box 57, Sugar Grove, WV 26815-9501 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366411 | Jung Tao School of Classical Chinese Medicine | Acupuncturist | 207 Dale Adams Rd, Sugar Grove, NC 28679-9657 | 2020-11-06 |
| 1043824469 | Susan Bowden | Speech-Language Pathologist | 3s611 Finley Rd, Sugar Grove, IL 60554-9665 | 2020-09-02 |
| 1013529445 | Linda Marie Wimer | Technician | 510 Misty Mountain Dr, Sugar Grove, WV 26815-7084 | 2020-08-18 |
| 1497366801 | Patricia A. Rexrode | Technician | 2709 Thorn Creek Rd, Sugar Grove, WV 26815-7528 | 2020-08-11 |
| 1861027666 | Linda W Brinkman | Dietitian, Registered | 3s854 Finley Rd, Sugar Grove, IL 60554 | 2020-03-12 |
| 1336773977 | Steven Limbrunner | Specialist/Technologist | 1876 Fays Ln, Sugar Grove, IL 60554-9767 | 2020-02-22 |
| 1528607066 | Candice Grace Dubeau | Counselor | 1312 Slater St, Sugar Grove, IL 60554-9823 | 2020-01-01 |
| 1093351934 | Danielle M Ortiz | Behavior Technician | 1241 Dorr Dr, Sugar Grove, IL 60554-5469 | 2019-11-26 |
| 1770140493 | Ida Rosa Lampignano | Nurse Practitioner | 882 Edgewood Dr, Sugar Grove, IL 60554-9272 | 2019-05-29 |
| 1902370927 | Kristine Louise Kadolph Benavides | Nurse Practitioner | 1218 Mariemont Rd Unit A, Sugar Grove, IL 60554-9436 | 2019-01-12 |
| Find all providers in SUGAR GROVE | ||||
| 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 |
|---|---|---|---|---|
| 1013529445 | Linda Marie Wimer | Technician | 510 Misty Mountain Dr, Sugar Grove, WV 26815-7084 | 2020-08-18 |
| 1497366801 | Patricia A. Rexrode | Technician | 2709 Thorn Creek Rd, Sugar Grove, WV 26815-7528 | 2020-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR GROVE |
| Zip Code | 26815 |
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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.