Donnetta R Adams

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1303 Washington St W
Charleston, WV 25302-1333

Phone

(304) 202-1699

NPI assigned

Oct 11, 2022

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1245955335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 GRANT AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772057",
            "telephone_number": "304-419-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 WASHINGTON ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253021333",
            "telephone_number": "304-202-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DONNETTA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "address_1": "1010 John Norman St",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alvra Adams
• Amiya Adams
• Anthony William Adams
• Betty Adams
• Connie Adams
• Evalynne Adams
• Jennifer Lee Adams
• Justin Adams, MSW
• Kayla Roxanne Adams, NP
• Laura E Adams, MSN, RNC, CNP

• Peer Specialist in Charleston, WV
• Providers in Charleston, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.