Tina Halterman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

45868 Issued in WV

Practice address

122 Maplewood Ave
Ronceverte, WV 24970-9736

Phone

(304) 645-4406

Fax

(304) 645-4492

NPI assigned

Sep 1, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Debra C Sams DO

  • Family Medicine Physician
  • Ronceverte, WV
  • NPI 1073700837
  NPD (past)

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1295968691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 596",
            "city": "ALDERSON",
            "state": "WV",
            "postal_code": "249100596",
            "telephone_number": "304-646-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249709736",
            "telephone_number": "304-645-4406",
            "fax_number": "304-645-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTERMAN",
        "first_name": "TINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "45868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Walton Grose, D.C.
• Lucas Guet
• Amber Guthrie
• H Richard Marshall Jr DDS Inc
• Robert A. Haas, DPT
• Stacy Hammons
• Dwan Shasta Hamons, PHARMD
• Jotina Hamrick
• Jonathan E Hanna, RN
• Bill H Harris, MD

• Family Nurse Practitioner in Ronceverte, WV
• Providers in Ronceverte, 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 Sep 1, 2009; 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.