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DEIDRA BURGESS
NPI 1053988568
Case Manager/Care Coordinator in Princeton, WV

Active since June 04, 2021
712 MERCER ST STE D, PRINCETON, WV 24740(304) 431-2443 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deidra Burgess NPPES

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

DEIDRA BURGESS (NPI 1053988568) is an individual case manager/care coordinator provider in Princeton, West Virginia and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1053988568
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameDEIDRA BURGESS
Location Address712 MERCER ST STE DPrinceton, WV 24740-3114
Mailing Address310 Steele Sawmill RdPrinceton, WV 24739-5940
Phone(304) 431-2443
Sole ProprietorNo
Enumeration DateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1053988568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
712 MERCER ST STE D, Princeton, WV 24740
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADLEY LEWIS
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
LASHANTA HALL
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
KAYLEIGH BELCHER
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
ASHLEY JUSTICE
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
INDIA SIMMONS
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
NATAJHA LEWIS
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
ALEXIS CLOWER
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443
REGINA ROBERTSON
Technician (Personal Care Attendant)
712 MERCER ST STE D
PRINCETON, WV 24740
Mercer County (304) 431-2443

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 Deidra Burgess's NPI number?

The NPI number for Deidra Burgess is 1053988568. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Deidra Burgess located?

Deidra Burgess practices at 712 Mercer St Ste D, Princeton, WV 24740. The listed phone number is (304) 431-2443.

What is Deidra Burgess's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Deidra Burgess was last updated on June 4, 2021. 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.