Envision Medical Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ENVISION MEDICAL CARE, LLC

Practice address

111 Court St S Ste B
Ripley, WV 25271-1408

Phone

(304) 372-1030

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

J Clay, NP-C

Title

Ceo

Phone

(304) 372-1030

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Envision Medical Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Envision Medical Care, LLC

  • Community/Behavioral Health Agency
  • Ripley, WV
  • NPI 1902589443
  NPD tax ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Ashley

  • Nurse Practitioner
  • Charleston, WV
  • NPI 1497394290
  Medicare reassignment Care Compare group NPD
• Jami Kay Clay, FNP

  • Family Nurse Practitioner
  • Ripley, WV
  • NPI 1326526807
  Medicare reassignment Care Compare group NPD
• Debora Lynn Wells, MA, LPC, ALPS

  • Professional Counselor
  • Ripley, WV
  • NPI 1699864793
  Medicare reassignment Care Compare group NPD
• Angela Dawn Crowe, FNP-C

  • Family Nurse Practitioner
  • Ripley, WV
  • NPI 1588021836
  NPD
• Wendy Smith, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Ripley, WV
  • NPI 1649048331
  NPD
• Tasha N Sloan, PRSS

  • Peer Specialist
  • Spencer, WV
  • NPI 1972461887
  NPD (past)
• Emily Toler, FNP-C

  • Family Nurse Practitioner
  • Parkersburg, WV
  • NPI 1083371264
  NPD (past)
• Eric Veith

  • Clinical Social Worker
  • Ripley, WV
  • NPI 1851901805
  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1194338244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COURT ST S STE B",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711408",
            "telephone_number": "304-372-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COURT ST S STE B",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711408",
            "telephone_number": "304-372-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-372-1030",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevate Learning & Behavior LLC
• Jaime N Elkins
• Arlaina L Ellison
• Remona Ellison
• Julie A Emmert
• Envision Medical Care, LLC
• Steven Eshenaur, DO
• Kaitlyn Estep
• Faith Haven Healthcare, LLC
• Faith Healthcare and Healing LLC

• Family Medicine Physician in Ripley, WV
• Providers in Ripley, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.