Carissa Danielle Queen
Technician, Personal Care Attendant in Flatwoods, WV. Individual provider (NPI-1).
NPI number1962276006
StatusActive
Last updated in NPPESNov 9, 2023
Details
- NPI
- 1962276006
- Entity type
- Individual (NPI-1)
- Name
- Carissa Danielle Queen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2023
- Certification date
- Nov 9, 2023
- Last updated
- Nov 9, 2023
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 |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
19 Freedom TrlFlatwoods, WV 26621-8079
Phone 304-765-7277
Mailing address
108 Cambridge PlBridgeport, WV 26330-2812
Phone 304-629-8383
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.
Other Personal Care Attendant providers in Flatwoods, WV
- Sally Marie BenderNPI 1497573604
- Kayla MorrisonNPI 1437868643
- Melissa Jean SartinNPI 1003525213
- Stacie Dawn StoutNPI 1871284620
- Avis Irene Wilson, PCANPI 1023592565
- Shirley May WilsonNPI 1699429944
All 7 Personal Care Attendant providers in Flatwoods · All 14 providers in Flatwoods
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