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SISSIE DIANE JOHNSON
NPI 1114640190
Technician - Personal Care Attendant in Fairmont, WV

Active since September 23, 2022
16 MOUNTAIN PARK DR, FAIRMONT, WV 26554(304) 816-3687 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sissie Diane Johnson NPPES

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

SISSIE DIANE JOHNSON (NPI 1114640190) is an individual personal care attendant in Fairmont, West Virginia, licensed in West Virginia (E949982) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1114640190
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSISSIE DIANE JOHNSON
Location Address16 MOUNTAIN PARK DRFairmont, WV 26554-8992
Mailing Address16 Mountain Park DrFairmont, WV 26554-8992 · (304) 816-3687
Phone(304) 816-3687
Sole ProprietorYes
Enumeration DateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
✔ NPI 1114640190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in WV · E949982
Definition
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
16 MOUNTAIN PARK DR, Fairmont, WV 26554
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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.

SUSIE JANE LONG
Technician (Personal Care Attendant)
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554
Marion County (304) 816-3687
JESSICA WISENBALER
Technician (Personal Care Attendant)
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554
Marion County (304) 816-3687
CARLA WARE
Technician (Personal Care Attendant)
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554
Marion County (304) 816-3687
ANGEL TUCKER
Technician (Personal Care Attendant)
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554
Marion County (304) 816-3687
ERIC WHITE
Technician (Personal Care Attendant)
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554
Marion County (304) 816-3687
TIFFANY HEWITT
Technician (Personal Care Attendant)
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554
Marion County (304) 816-3687
ZELDA R MORRIS
Technician (Attendant Care Provider)
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554
Marion County (304) 816-3687
HALLE MOORE
Technician (Personal Care Attendant)
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554
Marion County (304) 816-3687

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 Sissie Johnson's NPI number?

The NPI number for Sissie Johnson is 1114640190. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Sissie Johnson located?

Sissie Johnson practices at 16 Mountain Park Dr, Fairmont, WV 26554. The listed phone number is (304) 816-3687.

What is Sissie Johnson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Sissie Johnson was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.