Individual provider Active NPI

Christie Watkins Priem, APRN CFNP

  • Family Nurse Practitioner
  • Vienna, WV
National Provider Identifier
1235214107
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53820 Issued in WV
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000920 WV Practitioner - Nurse Practitioner 5698665701 Reassigns benefits to 1 organization

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
Valeo Medical PLLCGroup PAC ID 5597806471, 19 clinicians

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

OrganizationSpecialtyStatusNew patients
Valeo Medical, PLLC CurrentSince Mar 8, 2010 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.

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

Verify at the official NPI Registry.