Active NPI
Christie Watkins Priem, APRN CFNP
- Family Nurse Practitioner
- Vienna, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53820
- Practice address
- 800 Grand Central Mall Ste 11
Vienna, WV 26105-4100 - Phone
- (304) 916-1270
- Fax
- (304) 916-1705
- NPI assigned
- Oct 26, 2006
- Last updated
- Dec 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53820 | WV | Primary |
Addresses
Primary practice location
800 Grand Central Mall Ste 11
Vienna, WV 26105-4100
Mailing address
800 Grand Central Mall Ste 11
Vienna, WV 26105-4100
Phone (304) 916-1270
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 Fairmont Ave
Fairmont, WV 26554-5104
Phone (304) 534-8931
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valeo Medical, PLLC | Current | Accepting new patients |
Locations
630 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-6662
260 Russell Ave
North Martinsvlle, WV 26155
Phone (304) 398-4949
1905 Ann St
Parkersburg, WV 26101
Phone (304) 424-4120
1100 9th St
Ste E
Vienna, WV 26105
800 Grand Central Mall
Ste 11
Vienna, WV 26105
Phone (304) 424-4150
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- New Martinsville, WV
- NPI 1407180888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1235214107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GRAND CENTRAL MALL STE 11",
"city": "VIENNA",
"state": "WV",
"postal_code": "261054100",
"telephone_number": "304-916-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GRAND CENTRAL MALL STE 11",
"city": "VIENNA",
"state": "WV",
"postal_code": "261054100",
"telephone_number": "304-916-1270",
"fax_number": "304-916-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIEM",
"first_name": "CHRISTIE",
"middle_name": "WATKINS",
"name_prefix": "Mrs.",
"credential": "APRN CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "53820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.