Veterans Health Administration

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

77023 Issued in WV

Legal business name

VETERANS HEALTH ADMINISTRATION

Practice address

1 Med Center Dr
Clarksburg, WV 26301-4155

Phone

(304) 623-3461

NPI assigned

Oct 7, 2016

Organization subpart

No

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

Authorized official

Name

Letitia Jean Golden, FNP BC

Title

Nurse Practitioner

Phone

(304) 623-3461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1134679798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MED CENTER DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-623-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MED CENTER DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014155",
            "telephone_number": "304-623-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS HEALTH ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "LETITIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "304-623-3461",
        "authorized_official_credential": "FNP BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WV",
            "license": "77023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Vaughan
• Lee Ann Vecellio, EDS
• Gerard Anthony Veltri, D.D.S.
• Mary Frances Veltri, RN, BSN, CDE, RNFA
• Samuel Vincent Veltri, D.D.S.
• Victory Pharmacy LLC
• Beatrice Viglianco
• Madeline Viglianco
• Thomas Vincent
• Angelique Ferrer Vitug, MD

• Clinic/Center in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.