Active NPI
Barbara Jean Pellegrin, CNP
- Family Nurse Practitioner
- Parkersburg, WV
National Provider Identifier
1154307882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP01667
- Practice address
- 604 Ann St
Parkersburg, WV 26101-5122 - Phone
- (304) 424-2400
- Fax
- (304) 865-5036
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | RN213748 | OH | |
| Family Nurse Practitioner | 363LF0000X | NP01667 | OH | Primary |
Addresses
Primary practice location
604 Ann St
Parkersburg, WV 26101-5122
Mailing address
604 Ann St
Parkersburg, WV 26101-5122
Phone (304) 424-2400
Other names 1
- Barbara Wade Pellegrin
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN213748 | OH | MD | Diabetes Educator Registered Nurse |
| NP01667 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1154307882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 ANN ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015122",
"telephone_number": "304-424-2400",
"fax_number": "304-865-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 ANN ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015122",
"telephone_number": "304-424-2400",
"fax_number": "304-865-5036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLEGRIN",
"first_name": "BARBARA",
"middle_name": "JEAN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "OH",
"license": "RN213748",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP01667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "PELLEGRIN",
"middle_name": "WADE",
"credential": "CNP",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.