Provider Demographics
NPI:1447921994
Name:CABBELL, NAKESHA (CMS)
Entity type:Individual
Prefix:
First Name:NAKESHA
Middle Name:
Last Name:CABBELL
Suffix:
Gender:F
Credentials:CMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 6TH AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1842
Mailing Address - Country:US
Mailing Address - Phone:130-430-8888
Mailing Address - Fax:
Practice Address - Street 1:232 6TH AVE APT 3
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1842
Practice Address - Country:US
Practice Address - Phone:304-308-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-24
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator