Individual provider Active NPI

Mandy Slusher, FNP-C

  • Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1124574504
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
62667 Issued in WV
Practice address
602 Division St
Parkersburg, WV 26101-5656
Phone
(304) 485-7539
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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 APRN.CNP.024436 OH
Nurse Practitioner 363L00000X 62667 WV Primary

Addresses

Primary practice location

602 Division St
Parkersburg, WV 26101-5656

Mailing address

4 Rosemar Cir
Parkersburg, WV 26104-1219
Phone (304) 865-5130

Other practice location 1

4 Rosemar Cir
Parkersburg, WV 26104-1219
Phone (304) 865-5130

Other practice location 2

2434 Richmiller Ln Unit C
Belpre, OH 45714-1075
Phone (740) 315-1030

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024436OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mandy.slusher@mmhs.medicity.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1124574504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROSEMAR CIR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041219",
            "telephone_number": "304-865-5130",
            "fax_number": "304-485-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 DIVISION ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015656",
            "telephone_number": "304-485-7539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Rosemar Cir",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261041219",
            "country_code": "US",
            "telephone_number": "304-865-5130",
            "fax_number": "304-485-1519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2434 Richmiller Ln Unit C",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141075",
            "country_code": "US",
            "telephone_number": "740-315-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLUSHER",
        "first_name": "MANDY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.024436",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "62667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.