STACIE WALLS


Address: 1 Avenue C Ste 109, Madison, WV 25130-1100
Phone: 3043696400

STACIE WALLS (NPI# 1831797216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831797216
Entity Type Individual
Full Name STACIE WALLS
Practice Address 1 Avenue C Ste 109
Madison
WV 25130-1100
Practice Telephone 3043696400
Mailing Telephone 3043696400
Enumeration Date 2020-10-16
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Avenue C Ste 109, Madison, WV 251301100 3043696400

Office Location

Street Address 1 AVENUE C STE 109
City MADISON
State WV
Zip Code 25130-1100

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457960957 Sadie Vance Technician 1 Ave C, Madison, WV 25130 2020-07-30
1255940516 Katie Adkins Technician 109 Ave C, Madison, WV 25130 2020-07-23
1386981488 Integrated Health Care Providers, Inc. Urology 707 Madison Avenue, Madison, WV 25130 2013-01-09
1386710028 Lisa Gaye Dolan Registered Nurse 69 Avenue B, Boone County of Educations, Madison, WV 25130 2006-11-27
1679671549 Atkins Dds Inc Dentist 221 State Street, Suite 102, Madison, WV 25130 2006-09-21
1063446854 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 3265 Smoot Avenue, Madison, WV 25130 2006-07-10
1558318832 Sriramloo Kesari General Practice 173 State St, Madison, WV 25130 2006-05-30
1689628489 Kathy Jo Hill Nurse Practitioner 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 2006-05-19
1578513032 Boone Memorial Hospital Inc Clinic/Center 697 Madison Avenue, Madison, WV 25130 2006-05-12
1770979874 Michael Vaughn Baxter Bledsoe Family Medicine 701 Madison Ave, Madison, WV 25130 2015-04-15
Find all providers in zip 25130

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356942254 Christopher Adkins Technician 10 Avenue C Ste 109, Madison, WV 25130-1102 2020-11-06
1023619301 Kaleigh Ellis Technician 301 Rucker St, Madison, WV 25130-1125 2020-11-04
1447857859 Patrice Scott Technician 6134 Clay St, Madison, OH 44057-9416 2020-10-08
1639780661 Crystal Renay Green Technician 99 Croft Ln, Madison, WV 25130-8501 2020-08-13
1235740341 Shannon Davis Technician 330 Wilson St, Madison, WV 25130-1368 2020-08-12
1114536521 Debra Lynn Kuhn Technician 1 Avenue C Ste 102, Madison, WV 25130-1100 2020-07-31
1457960957 Sadie Vance Technician 1 Ave C, Madison, WV 25130 2020-07-30
1164031647 Krista Hall Technician 828 Lee Ave, Madison, WV 25130-1505 2020-07-30
1912516444 Harold Joe Mcneely Technician 1 Avenue C Bldg Suite109, Madison, WV 25130-1100 2020-07-30
1255940516 Katie Adkins Technician 109 Ave C, Madison, WV 25130 2020-07-23
Find all providers in MADISON

Competitor

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City MADISON
Zip Code 25130

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Dataset Information

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.

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