DEIDRA SMITH NPI 1467050583

NPI Information

  • NPI: 1467050583
  • Provider Name: DEIDRA SMITH
  • Classification: Technician - 3747P1801X
  • Specialization: Personal Care Attendant
  • Entity Type: Individual
  • Address: 600 TRENT STREET
    PRINCETON, WV
    ZIP 24740
  • Phone: (304) 425-7111

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NPI Details

Deidra Smith is a personal care attendant technician in Princeton, WV. The provider is 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 Deidra Smith NPI is 1467050583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 TRENT STREET
PRINCETON, WV
ZIP 24740
Phone: (304) 425-7111
Fax: (304) 425-1138

The enumeration date for this NPI number is 10/12/2020 and was last updated on 8/17/2023.

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
1376J00000XHomemaker1568796027WEST VIRGINIANo
23747P1801XTechnicianPersonal Care Attendant1568796027WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11982024741MEDICAIDWEST VIRGINIA
255-6025355MEDICAIDWEST VIRGINIA

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: 3/30/2025

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