Active NPI
Nancy C Bostar, CFNP
- Family Nurse Practitioner
- Huntington, WV
National Provider Identifier
1063444313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 39079
- Practice address
- 5170 US RT 60 East
Huntington, WV 25705 - Phone
- (304) 528-4635
- Fax
- (304) 528-4624
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 39079 | WV | Primary |
Addresses
Primary practice location
5170 US RT 60 East
Huntington, WV 25705
Mailing address
5170 US RT 60 East
Huntington, WV 25705
Phone (304) 528-4635
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2231203 | Medicaid | OH | |
| 7101055000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39079 | WV | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063444313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5170 US RT 60 EAST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25705",
"telephone_number": "304-528-4635",
"fax_number": "304-528-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 US RT 60 EAST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25705",
"telephone_number": "304-528-4635",
"fax_number": "304-528-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTAR",
"first_name": "NANCY",
"middle_name": "C",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "39079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2231203",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101055000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.