Active NPI
Kermit McCourt
- Licensed Practical Nurse
- Summersville, WV
National Provider Identifier
1124931118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 39327
- Practice address
- 1073 Arbuckle Rd
Summersville, WV 26651-1745 - Phone
- (304) 916-1881
- NPI assigned
- Sep 23, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 39327 | WV | Primary |
Addresses
Primary practice location
1073 Arbuckle Rd
Summersville, WV 26651-1745
Mailing address
1824 Murdoch Ave BLDG C
Parkersburg, WV 26101-3230
Phone (304) 916-1881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1124931118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 MURDOCH AVE BLDG C",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013230",
"telephone_number": "304-916-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1073 ARBUCKLE RD",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511745",
"telephone_number": "304-916-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOURT",
"first_name": "KERMIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WV",
"license": "39327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.