Individual provider Active NPI

Darlene Michele Fields, FNP-BC

  • Family Nurse Practitioner
  • Logan, WV
National Provider Identifier
1164738530
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
55906 Issued in WV
Practice address
140 Stollings Ave Ste 3
Logan, WV 25601-4035
Phone
(304) 752-4594
Fax
(304) 752-5629
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 55906 WV Primary

Addresses

Primary practice location

140 Stollings Ave Ste 3
Logan, WV 25601-4035

Mailing address

140 Stollings Ave Ste 3
Logan, WV 25601-4035
Phone (304) 752-4594

Other practice location 1

123 Enterprise Dr
Logan, WV 25601-3750
Phone (304) 752-0183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215001257 WV Practitioner - Nurse Practitioner 5294923306 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55906WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Habits Wellness Ctr, Inc Current Accepting new patients
Living Waters Medical Center CurrentSince Jul 8, 2019 Accepting new patients
Cherokee Emergency Services, Inc. CurrentSince Jan 16, 2014 Accepting new patients
Health Care Alliance, Inc. CurrentSince Feb 24, 2016 Accepting new patients
Marshall West Virginia Ed Associates, LLC Past Accepting new patients
Elm Emergency Group PLLC Past Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551

100 Main Ave
Logan, WV 25601
Phone (304) 831-6700

258 Hanging Rock Hwy
Ste 3
Logan, WV 25601
Phone (304) 752-4405

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Interoperability endpoints

  • Direct secure messaging: dfields20676@gohealthupmc.direct-ci.com

Organizations & group practices 7

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": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1164738530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 STOLLINGS AVE STE 3",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256014035",
            "telephone_number": "304-752-4594",
            "fax_number": "304-752-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STOLLINGS AVE STE 3",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256014035",
            "telephone_number": "304-752-4594",
            "fax_number": "304-752-5629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256013750",
            "country_code": "US",
            "telephone_number": "304-752-0183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "DARLENE",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "55906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

Verify at the official NPI Registry.