Individual provider Active NPI

Agnes Christine Poe, LPN

  • Licensed Practical Nurse
  • Moundsville, WV
National Provider Identifier
1114636214
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26567 Issued in WV
Practice address
100 Teletech Drive
Suite 1
Moundsville, WV 26041
Phone
(304) 221-4506
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26567 WV Primary

Addresses

Primary practice location

100 Teletech Drive
Suite 1
Moundsville, WV 26041

Mailing address

100 Teletech Drive
Suite 1
Moundsville, WV 26041-2790
Phone (304) 221-4506

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agnes.poe@wvumedicine.org Direct

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1114636214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TELETECH DRIVE",
            "address_2": "SUITE 1",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260412790",
            "telephone_number": "304-221-4506",
            "fax_number": "304-221-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TELETECH DRIVE",
            "address_2": "SUITE 1",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "26041",
            "telephone_number": "304-221-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "AGNES",
        "middle_name": "CHRISTINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "26567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agnes.poe@wvumedicine.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "poeagnes67@gmail.com",
            "address_1": "100 Teletech Drive",
            "address_2": "Suite 1",
            "city": "Moundsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "26041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moundsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.