Organization Active NPI

Rural Acres Infusion, LLC

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1164817763
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN49209-FNP-BC Issued in WV
Legal business name
RURAL ACRES INFUSION, LLC
Practice address
117 Rural Acres Dr
Beckley, WV 25801-3579
Phone
(304) 860-1446
Fax
(304) 894-8513
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Autumn D. Smith
Title
Owner
Phone
(304) 860-1446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN49209-FNP-BC WV Primary

Addresses

Primary practice location

117 Rural Acres Dr
Beckley, WV 25801-3579

Mailing address

117 Rural Acres Dr
Beckley, WV 25801-3579
Phone (304) 860-1446

National Provider Directory

National Provider Directory

Locations

203 Dawkins Dr
Lewisburg, WV 24901
Phone (681) 318-3589

310 Red Oaks Shopping Ctr
Ronceverte, WV 24970
Phone (304) 318-4100

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1164817763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013579",
            "telephone_number": "304-860-1446",
            "fax_number": "304-894-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013579",
            "telephone_number": "304-860-1446",
            "fax_number": "304-894-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL ACRES INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-860-1446"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN49209-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.