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MARISA JADE SHUPE
NPI 1205504776
Technician - Personal Care Attendant in Beckley, WV

Active since August 31, 2021
307 WYOMING AVE, BECKLEY, WV 25801(276) 220-6817 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marisa Jade Shupe NPPES

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

MARISA JADE SHUPE (NPI 1205504776) is an individual personal care attendant in Beckley, West Virginia and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1205504776
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMARISA JADE SHUPE
Location Address307 WYOMING AVEBeckley, WV 25801-3434
Mailing Address307 Wyoming AveBeckley, WV 25801-3434 · (276) 220-6817
Phone(276) 220-6817
Sole ProprietorNo
Enumeration DateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1205504776 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
307 WYOMING AVE, Beckley, WV 25801
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Other Providers at the Same Location NPPES 2

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

AMANDA ONEIL
Technician (Personal Care Attendant)
307 WYOMING AVE
BECKLEY, WV 25801
Raleigh County (304) 994-2914
EVA CHERIE BALLARD
Technician (Personal Care Attendant)
307 WYOMING AVE
BECKLEY, WV 25801
Raleigh County (681) 368-0374

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 Marisa Shupe's NPI number?

The NPI number for Marisa Shupe is 1205504776. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Where is Marisa Shupe located?

Marisa Shupe practices at 307 Wyoming Ave, Beckley, WV 25801. The listed phone number is (276) 220-6817.

What is Marisa Shupe'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 Marisa Shupe was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.