Healthcare Provider Details

I. General information

NPI: 1699345702
Provider Name (Legal Business Name): SHAWNA HAMMONS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 N SPRING ST
BUCKHANNON WV
26201-2720
US

IV. Provider business mailing address

122 QUARRY GLENN DR APT 506
WESTON WV
26452-9685
US

V. Phone/Fax

Practice location:
  • Phone: 304-472-0395
  • Fax: 304-471-2488
Mailing address:
  • Phone: 304-612-5460
  • Fax: 304-471-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: