Roane County Family Health Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

75190 Issued in WV

Legal business name

ROANE COUNTY FAMILY HEALTH CARE

Practice address

146 Williams Dr
Spencer, WV 25276-1826

Phone

(304) 927-8143

Fax

(304) 927-8198

NPI assigned

Oct 14, 2016

Last updated

Oct 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Becky Mincey

Title

Med Staff Coordinator

Phone

(304) 927-8143

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Roane County Fam HLTH C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roane County Family Health Care, Inc.

  • Obstetrics & Gynecology Physician
  • Spencer, WV
  • NPI 1538248133
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73328

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1114478195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 WILLIAMS DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761826",
            "telephone_number": "304-927-8143",
            "fax_number": "304-927-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 WILLIAMS DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761826",
            "telephone_number": "304-927-8143",
            "fax_number": "304-927-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANE COUNTY FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "MINCEY",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "MED STAFF COORDINATOR",
        "authorized_official_telephone_number": "304-927-8143"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "75190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035046000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roane County Board of Education
• Roane County Committee on Aging
• Roane County Committee on Aging, Inc.
• Roane County Committee on Aging, Inc.
• Roane County Emergency Squad Inc
• Roane County Family Health Care, Inc.
• Roane County Family Health Care, Inc.
• Roane Homecare, LLC (Roane HomeCare)
• Katelynn Taylor Robertson
• Donna Renee Rogers

• Family Nurse Practitioner in Spencer, WV
• Providers in Spencer, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.