DAVID SHAMBLEN PRSS NPI 1194419903

NPI Information

  • NPI: 1194419903
  • Provider Name: DAVID SHAMBLEN, PRSS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 114 SUTHERLAND DR
    SAINT ALBANS, WV
    ZIP 25177
  • Phone: (304) 400-2630

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NPI Details

David Shamblen, PRSS is a peer specialist in Saint Albans, WV. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. David Shamblen, PRSS NPI is 1194419903. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

114 SUTHERLAND DR
SAINT ALBANS, WV
ZIP 25177-309
Phone: (304) 400-2630

The enumeration date for this NPI number is 6/5/2023 and was last updated on 6/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistWEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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