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MISTY ROSE THACKER
NPI 1124633987
Technician - Personal Care Attendant in Crum, WV

Active since September 09, 2020

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2021, Sep 9, 2020 (2 updates tracked since 2020).

About Misty Rose Thacker NPPES

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

MISTY ROSE THACKER (NPI 1124633987) is an individual personal care attendant in Crum, West Virginia and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1124633987
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMISTY ROSE THACKER
Location Address230 WEBB ROADCrum, WV 25669
Mailing AddressPo Box 438Crum, WV 25669-0438 · (304) 393-3130
Phone(304) 393-3130
Sole ProprietorNo
Enumeration DateSeptember 9, 2020
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1124633987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
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
230 WEBB ROAD, Crum, WV 25669
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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 Misty Thacker's NPI number?

The NPI number for Misty Thacker is 1124633987. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Misty Thacker located?

Misty Thacker practices at 230 Webb Road, Crum, WV 25669. The listed phone number is (304) 393-3130.

What is Misty Thacker'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 Misty Thacker was last updated on June 23, 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.