Carol Suzanne Dennison, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN73976NP Issued in WV

Practice address

950 Mount View Rd
Welch, WV 24801-2810

Phone

(304) 436-4798

NPI assigned

Dec 3, 2018

Last updated

Dec 3, 2018By 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

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Family Health, LLCGroup PAC ID 4587092531, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.dennison.1@20555.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20555/brand/1/csg/1/fhir/r4

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.

• Faith Family Health, LLC

  dba Faith Family Helalth

  • Primary Care Clinic/Center
  • Princeton, WV
  • NPI 1104468842
  Medicare reassignment Care Compare group NPD
• Tug River Health Association, Inc

  • Federally Qualified Health Center (FQHC)
  • Gary, WV
  • NPI 1174501068
  Medicare reassignment NPD
• Tug River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bradshaw, WV
  • NPI 1295033009
  Medicare reassignment NPD
• Faith Family Health, LLC

  dba Faith Family Health Primary Care

  • Primary Care Clinic/Center
  • Princeton, WV
  • NPI 1568173201
  NPD (past)
• Tug River Health Association, Inc.

  • Clinical Medical Laboratory
  • Welch, WV
  • NPI 1548749062
  NPD (past)

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1255801312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 NEW HOPE RD",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247019362",
            "telephone_number": "304-589-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MOUNT VIEW RD",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012810",
            "telephone_number": "304-436-4798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Supply Street",
            "address_purpose": "LOCATION",
            "city": "Gary",
            "state": "WV",
            "postal_code": "24836",
            "country_code": "US",
            "telephone_number": "304-448-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "CAROL",
        "middle_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN73976NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Damewood, CRNA
• Heather Renee Dawson
• Lashayna Lashae Day
• Sharon Arlene Day
• Deebs Drugs Inc (Citizens Drug Store)
• Sharon Covette Deshazo
• Elsie Lea Deskins
• Kimberly Dillard
• Anthony Dillon
• Scott Craig Dobberke, RPH

• Family Nurse Practitioner in Welch, WV
• Providers in Welch, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.

Verify at the official NPI Registry.