Individual provider Active NPI

Julia Blevins, FNP-C

  • Family Nurse Practitioner
  • Welch, WV
National Provider Identifier
1255059796
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113972 Issued in WV
Practice address
454 McDowell St
Welch, WV 24801-2029
Phone
(304) 436-8630
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 113972 WV Primary

Addresses

Primary practice location

454 McDowell St
Welch, WV 24801-2029

Mailing address

454 McDowell St
Welch, WV 24801-2029

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
I20221021002209 WV Practitioner - Nurse Practitioner 5193191740 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of West Virginia Welch Community HospitalGroup PAC ID 3375437585, shared by 2 NPIs, 12 clinicians
Tug River Health Association, IncGroup PAC ID 7214820547, shared by 6 NPIs, 14 clinicians

Practice addresses (Care Compare)

454 McDowell St
Welch, WV 24801-2029

512 Mountaineer Hwy
RM 1344
Bradshaw, WV 24817
Phone (304) 967-7682

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
113972WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tug River Health Association, Inc CurrentSince Mar 26, 2024 Accepting new patients
Tug River Health Association, Inc. CurrentSince Mar 26, 2024 Accepting new patients
CNP Operating Co LLC CurrentSince Jul 18, 2023 Accepting new patients
Tug River Health Association, Inc CurrentSince Mar 26, 2024 Accepting new patients
Tug River Health Association, Inc CurrentSince Mar 26, 2024 Accepting new patients
Appalachian Mountains Medical, LLC CurrentSince Sep 12, 2022 Accepting new patients
Tug River Health Association, Inc Past Accepting new patients

Locations

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

223 Dry Hill Rd
Beckley, WV 25801

2675 36th St
Parkersburg, WV 26104
Phone (304) 422-8112

200 12th Street Ext
Princeton, WV 24740
Phone (304) 425-9541

1880 Mount View Rd
Ste 500
Welch, WV 24801
Phone (304) 436-4798

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

Interoperability endpoints

  • Direct secure messaging: julia.blevins.1@18068.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1255059796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012029",
            "telephone_number": "304-436-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "JULIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "113972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Welch, WV

Sources for this page

Verify at the official NPI Registry.