Individual provider Active NPI

Laurie R Jones, NURSE PRACTIONEER

  • Adult Health Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1073737714
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
50925 Issued in WV
Practice address
11950 Maccorkle Ave
Suite B
Charleston, WV 25315-1131
Phone
(304) 949-6010
Fax
(304) 949-6012
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 50925 WV Primary

Addresses

Primary practice location

11950 Maccorkle Ave
Suite B
Charleston, WV 25315-1131

Mailing address

11950 Maccorkle Ave
Suite B
Charleston, WV 25315-1131
Phone (304) 949-6010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070411000102 WV Practitioner - Nurse Practitioner 6507961182 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Aug 1, 2024 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients

Locations

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073737714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 MACCORKLE AVE",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253151131",
            "telephone_number": "304-949-6010",
            "fax_number": "304-949-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 MACCORKLE AVE",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253151131",
            "telephone_number": "304-949-6010",
            "fax_number": "304-949-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LAURIE",
        "middle_name": "R",
        "credential": "NURSE PRACTIONEER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "50925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.