=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275426546
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MELINDA ANN BARNETT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2025
-----------------------------------------------------
Last Update Date | 06/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 566 MILL STREET
-----------------------------------------------------
City | WEST MILFORD
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 26451
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-669-0991
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 336
-----------------------------------------------------
City | WEST MILFORD
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 26451-0336
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------