NPIMap

Individual provider Active NPI

Norah Ann Nutter, WHNP

  • Women's Health Nurse Practitioner
  • Marion, VA
National Provider Identifier
1083893598
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APN2588 Issued in SC
Practice address
1616 N Main St Ste 100B
Marion, VA 24354
Phone
(276) 378-3920
Fax
(276) 378-3921
NPI assigned
Oct 31, 2007
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APN2588 SC Primary

Addresses

Primary practice location

1616 N Main St Ste 100B
Marion, VA 24354

Mailing address

1616 N Main St Ste 100B
Marion, VA 24354-4473
Phone (276) 378-3920

Other names 1

  • Mrs. Norah Smith Nutter Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180625001110 VA Practitioner - Nurse Practitioner 7618222167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1021 W Oakland Ave
Suite 310
Johnson City, TN 37604-2192

509 Med Tech Pkwy
Suite 100
Johnson City, TN 37604-2578

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN2588SCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Jun 1, 2018 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jun 1, 2018 Accepting new patients
Blue Ridge Medical Management Corporation PastSince Jun 1, 2018 Accepting new patients

Locations

16000 Johnston Memorial Dr
Ste 200
Abingdon, VA 24211
Phone (276) 258-1000

16000 Johnston Memorial Dr
Ste 309
Abingdon, VA 24211
Phone (276) 258-3820

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777

1616 N Main St
Ste 100B
Marion, VA 24354
Phone (276) 378-3920

Ownership & related parties

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southwest Virginia Community Health Systems IncTazewell, VA, CCN 491871 Federally qualified health center Corporate Director Jan 21, 2019
Southwest Virginia Community Health Systems IncMeadowview, VA, CCN 491880 Federally qualified health center Corporate Director Jan 21, 2019
Southwest Virginia Community Health Systems IncBristol, VA, CCN 491855 Federally qualified health center Corporate Director Jan 21, 2019
Southwest Virginia Community Health Systems IncSaltville, VA, CCN 491948 Federally qualified health center Corporate Director Jan 21, 2019
Southwest Virginia Community Health Systems IncBristol, VA, CCN 491968 Federally qualified health center Corporate Director Jan 21, 2019
Saltville Elementary SchoolSaltville, VA, CCN 491976 Federally qualified health center Corporate Director Jan 21, 2019
Northwood Middle SchoolSaltville, VA, CCN 491977 Federally qualified health center Corporate Director Jan 21, 2019
Tazewell- New Day RecoveryTazewell, VA, CCN 491981 Federally qualified health center Corporate Director Jan 21, 2019
Virginia High SchoolBristol, VA, CCN 491988 Federally qualified health center Corporate Director Jan 21, 2019
Chilhowie Elementary SchoolChilhowie, VA, CCN 491003 Federally qualified health center Corporate Director Jan 21, 2019
John Battle High SchoolBristol, VA, CCN 491011 Federally qualified health center Corporate Director Jan 21, 2019
Chilhowie High SchoolChilhowie, VA, CCN 491023 Federally qualified health center Corporate Director Jan 21, 2019
High Point Elementary SchoolBristol, VA, CCN 491040 Federally qualified health center Other Jan 21, 2019

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1083893598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N MAIN ST STE 100B",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544473",
            "telephone_number": "276-378-3920",
            "fax_number": "276-378-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N MAIN ST STE 100B",
            "city": "MARION",
            "state": "VA",
            "postal_code": "24354",
            "telephone_number": "276-378-3920",
            "fax_number": "276-378-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "NORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SC",
            "license": "APN2588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORAH",
            "last_name": "NUTTER",
            "middle_name": "SMITH",
            "prefix": "MRS.",
            "credential": "WHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.