Judy Anderson
Community Health Worker in Buckhannon, WV. Individual provider (NPI-1).
NPI number1104411131
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1104411131
- Entity type
- Individual (NPI-1)
- Name
- Judy Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2021
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
118 Camden AveBuckhannon, WV 26201-2539
Phone 304-621-0090
Mailing address
118 Camden AveBuckhannon, WV 26201-2539
Phone 304-621-0090
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 54 Community Health Worker providers in Buckhannon · All 998 providers in Buckhannon
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