Ashley Dawn Vannatter, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

000000 Issued in WV

Practice address

802 Oak St
Kenova, WV 25530-1519

Phone

(304) 908-1056

Fax

(304) 400-6620

NPI assigned

Dec 7, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ashley Dawn Hill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1033820352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 CRANE AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051725",
            "telephone_number": "681-294-4326",
            "fax_number": "681-378-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 OAK ST",
            "city": "KENOVA",
            "state": "WV",
            "postal_code": "255301519",
            "telephone_number": "304-908-1056",
            "fax_number": "304-400-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1236 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257012207",
            "country_code": "US",
            "telephone_number": "681-294-4326",
            "fax_number": "681-378-6108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANNATTER",
        "first_name": "ASHLEY",
        "middle_name": "DAWN",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HILL",
            "middle_name": "DAWN",
            "credential": "PRSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Peer Specialist in Kenova, WV
• Providers in Kenova, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.