Country Roads Housecalls, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

COUNTRY ROADS HOUSECALLS, LLC

Practice address

112 Quarterhorse Dr
Scott Depot, WV 25560-9684

Phone

(304) 685-1901

NPI assigned

Jun 11, 2020

Organization subpart

No

Name

Lydia Smith, FNP-BCNPI 1235415217

Title

Nurse Practitioner

Phone

(304) 685-1901

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lydia Smith, FNP-BC

  • Family Nurse Practitioner
  • Scott Depot, WV
  • NPI 1235415217

  WV

  Medicare reassignment Authorized official

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2021.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1053936377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 QUARTERHORSE DR",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 QUARTERHORSE DR",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609684",
            "telephone_number": "304-685-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY ROADS HOUSECALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "304-685-1901",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Collins, RN
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• Hannah Aspy Conley, PA-C
• Kevin Cool
• Rachael Copley
• Covenant Home Health Care Services, Inc
• Laurie Covington
• Kimberly Craig
• Jacob Crain
• Lindsay Crowley, PHARMD

• All providers in Scott Depot, WV
• Nursing Care Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.