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SHANE JAXYN LOGEN WILLIAMS
NPI 1467189571
Technician - Personal Care Attendant in Moundsville, WV

Active since August 08, 2022
206 ASH AVE, MOUNDSVILLE, WV 26041(681) 588-7733 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane Jaxyn Logen Williams NPPES

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

SHANE JAXYN LOGEN WILLIAMS (NPI 1467189571) is an individual personal care attendant in Moundsville, West Virginia and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1467189571
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameSHANE JAXYN LOGEN WILLIAMS
Location Address206 ASH AVEMoundsville, WV 26041-1536
Mailing Address206 Ash AveMoundsville, WV 26041-1536 · (681) 588-7733
Phone(681) 588-7733
Sole ProprietorNo
Enumeration DateAugust 8, 2022
NPPES CertifiedAugust 8, 2022
✔ NPI 1467189571 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
206 ASH AVE, Moundsville, WV 26041
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Other Identifiers 3

Medicaid1356607394WV
Medicaid1821206228WV
Medicaid125553494WV

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 Shane Williams's NPI number?

The NPI number for Shane Williams is 1467189571. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Shane Williams located?

Shane Williams practices at 206 Ash Ave, Moundsville, WV 26041. The listed phone number is (681) 588-7733.

What is Shane Williams'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 Shane Williams was last updated on August 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.