Individual provider Active NPI

Kathleen Fox Tennant, ANP-BOARD CERTIFIED

  • Adult Health Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1255716510
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN29519-ANP-BC Issued in WV
Practice address
61 29TH St
Wheeling, WV 26003-4161
Phone
(304) 233-9323
Fax
(304) 233-9348
NPI assigned
Jul 28, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN29519-ANP-BC WV Primary

Addresses

Primary practice location

61 29TH St
Wheeling, WV 26003-4161

Mailing address

19 Elmwood PL
Wheeling, WV 26003-5505
Phone (304) 281-3143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN29519-ANP-BCWVMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1255716510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ELMWOOD PL",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035505",
            "telephone_number": "304-281-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 29TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034161",
            "telephone_number": "304-233-9323",
            "fax_number": "304-233-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "KATHLEEN",
        "middle_name": "FOX",
        "credential": "ANP-BOARD CERTIFIED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "APRN29519-ANP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.