NPIMap

Organization Active NPI

Weirton Medical Center

  • Registered Dietitian
  • Weirton, WV
National Provider Identifier
1275809535
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
511 Issued in WV
Legal business name
WEIRTON MEDICAL CENTER
Practice address
601 Colliers Way
Weirton, WV 26062-5014
Phone
(304) 797-6000
Fax
(304) 797-6186
NPI assigned
Mar 30, 2012
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Mrs. Praveena Kandala, R.DNPI 1225155062
Title
Clinical Dietitian
Phone
(304) 797-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 511 WV Primary

Addresses

Primary practice location

601 Colliers Way
Weirton, WV 26062-5014

Mailing address

5313 Terrace View Dr
MC Donald, PA 15057-3530
Phone (304) 797-6436

National Provider Directory

National Provider Directory
Tax ID family
Lawrence R Sutton PHD12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1275809535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 TERRACE VIEW DR",
            "city": "MC DONALD",
            "state": "PA",
            "postal_code": "150573530",
            "telephone_number": "304-797-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625014",
            "telephone_number": "304-797-6000",
            "fax_number": "304-797-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIRTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "KANDALA",
        "authorized_official_first_name": "PRAVEENA",
        "authorized_official_title_or_position": "CLINICAL DIETITIAN",
        "authorized_official_telephone_number": "304-797-6000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.