Individual provider Active NPI

Carol Harvey, NP

  • Gerontology Nurse Practitioner
  • Shady Spring, WV
National Provider Identifier
1104549302
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
111009 Issued in WV
Practice address
340 Pine St
Shady Spring, WV 25918-9706
Phone
(304) 894-4055
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beckley Health Right Inc 2 clinicians

Practice addresses (Care Compare)

111 Randolph St
Beckley, WV 25801-5962
Phone (304) 253-3577

Hospital & facility affiliations

  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070

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
I20250422001203 WV Practitioner - Nurse Practitioner 5597280669 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111009WVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beckley Health Right, Inc CurrentSince Mar 19, 2025 Accepting new patients

Locations

111 Randolph St
Beckley, WV 25801
Phone (304) 253-1960

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111009 WV
Gerontology Nurse Practitioner 363LG0600X 111009 WV Primary

Addresses

Primary practice location

340 Pine St
Shady Spring, WV 25918-9706

Mailing address

340 Pine St
Shady Spring, WV 25918-9706
Phone (304) 894-4055

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1104549302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PINE ST",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259189706",
            "telephone_number": "304-894-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PINE ST",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259189706",
            "telephone_number": "304-894-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "CAROL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "111009",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WV",
            "license": "111009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shady Spring, WV

Sources for this page

Verify at the official NPI Registry.