MARY BETH WALLER
NPI 1003411661
Technician - Attendant Care Provider in Somerset, KY

Q: What is Mary Waller's NPI number?

The NPI number for Mary Waller is 1003411661. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Q: What is Mary Waller's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Mary Waller was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 02, 2020

1471 BOAT DOCK RD, SOMERSET, KY 42501(606) 492-7620 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Beth Waller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BETH WALLER (NPI 1003411661) is an individual attendant care provider provider in Somerset, Kentucky and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1003411661

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameMARY BETH WALLER

Location Address1471 BOAT DOCK RDSomerset, KY 42501-9246

Mailing Address1471 Boat Dock RdSomerset, KY 42501-9246 · (606) 492-7620

Phone(606) 492-7620

Sole ProprietorYes

Enumeration DateDecember 2, 2020

NPPES CertifiedDecember 2, 2020

✔ NPI 1003411661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

1471 BOAT DOCK RD, Somerset, KY 42501

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Waller's NPI number?

The NPI number for Mary Waller is 1003411661. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Mary Waller located?

Mary Waller practices at 1471 Boat Dock Rd, Somerset, KY 42501. The listed phone number is (606) 492-7620.

What is Mary Waller's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Mary Waller was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.