Active NPI
Taylor Chevalier, PA-C
- Physician Assistant
- Weston, WV
National Provider Identifier
1265020507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2435
- Practice address
- 107 Staunton Dr
Weston, WV 26452-5604 - Phone
- (304) 269-2022
- Fax
- (304) 269-2037
- NPI assigned
- Jan 4, 2021
- Last updated
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2435 | WV | Primary |
Addresses
Primary practice location
107 Staunton Dr
Weston, WV 26452-5604
Mailing address
70 N Sturmer St
Belington, WV 26250-7403
Phone (304) 823-2800
Other practice location 1
70 N Sturmer St
Belington, WV 26250-7403
Phone (304) 823-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2435 | Other | WV | PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2435 | WV | MD | Physician Assistant |
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.
-
dba Belington Clinic
- Federally Qualified Health Center (FQHC)
- Belington, WV
- NPI 1053347328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1265020507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 N STURMER ST",
"city": "BELINGTON",
"state": "WV",
"postal_code": "262507403",
"telephone_number": "304-823-2800",
"fax_number": "304-823-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 STAUNTON DR",
"city": "WESTON",
"state": "WV",
"postal_code": "264525604",
"telephone_number": "304-269-2022",
"fax_number": "304-269-2037"
}
],
"practiceLocations": [
{
"address_1": "70 N Sturmer St",
"address_purpose": "LOCATION",
"city": "Belington",
"state": "WV",
"postal_code": "262507403",
"country_code": "US",
"telephone_number": "304-823-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEVALIER",
"first_name": "TAYLOR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "2435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "2435",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.