Individual provider Active NPI

Larry N Rupe, CRNA

  • Certified Registered Nurse Anesthetist
  • Beckley, WV
National Provider Identifier
1306831789
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
24491 Issued in WV
Practice address
1710 Harper Rd
Beckley, WV 25801-3357
Phone
(800) 277-8151
NPI assigned
Sep 13, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 24491 WV Primary

Addresses

Primary practice location

1710 Harper Rd
Beckley, WV 25801-3357

Mailing address

PO Box 16068
High Point, NC 27261-6068
Phone (888) 447-7220

Other identifiers 1

IdentifierTypeStateIssuer
0065229000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
24491WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Hill Hospital Corporation Past Accepting new patients
Greenbrier VMC LLC Past Accepting new patients
Day Surgery Limited Liability Past Accepting new patients
Bluefield Regional Medical Center Past Accepting new patients
Greenbrier VMC LLC Past Accepting new patients
Day Surgery Limited Liability Past Accepting new patients
Bluefield HBP Medical Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Sheridan Healthcare of West Virginia Inc Nurse Anesthetist, Certified Registered PastSince May 21, 2023 Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306831789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16068",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272616068",
            "telephone_number": "888-447-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013357",
            "telephone_number": "800-277-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPE",
        "first_name": "LARRY",
        "middle_name": "N",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "24491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065229000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.