Andrea Rochelle Varner, REGISTERED NURSE

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

69035 Issued in WV

Practice address

1300 Wheeling Ave
Glen Dale, WV 26038-1729

Phone

(304) 843-4444

Fax

(304) 845-4419

NPI assigned

Jan 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Rochelle Smertneck / Blon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1275394553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WHEELING AVE",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381729",
            "telephone_number": "304-843-4444",
            "fax_number": "304-845-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WHEELING AVE",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381729",
            "telephone_number": "304-843-4444",
            "fax_number": "304-845-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNER",
        "first_name": "ANDREA",
        "middle_name": "ROCHELLE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "69035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SMERTNECK / BLON",
            "middle_name": "ROCHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Thames
• The Cambrige Group Inc. (None)
• Elizabeth Tucker, PHARMD, BCPS
• United Hospital Center, Inc.
• Urgent Care, Inc - West Virginia (Urgent Care, Inc - West Virginia Glen Dale)
• Chickajajur Vijay, M.D.
• William R. Walker, M.D.
• Katrina Wasmuth, NP-C
• Matthew Joseph Watkins, D.O.
• Wayt Health Care, PLLC

• School Registered Nurse in Glen Dale, WV
• Providers in Glen Dale, WV by specialty
• School Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.