Organization Active NPI

Chesapeake Medical Center

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1316492200
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN82678-FNP-BC Issued in WV
Legal business name
CHESAPEAKE MEDICAL CENTER
Practice address
310 35TH St SE
Suite 11
Charleston, WV 25304-1352
Phone
(304) 720-9595
Fax
(304) 720-9596
NPI assigned
Aug 20, 2016
Last updated
Aug 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Authorized official

Name
Mrs. Marcie Reed
Title
Practice Manager
Phone
(304) 720-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN82678-FNP-BC WV Primary

Addresses

Primary practice location

310 35TH St SE
Suite 11
Charleston, WV 25304-1352

Mailing address

310 35TH St SE
Suite 11
Charleston, WV 25304-1352
Phone (304) 720-9595

National Provider Directory

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": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1316492200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 35TH ST SE",
            "address_2": "SUITE 11",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041352",
            "telephone_number": "304-720-9595",
            "fax_number": "304-720-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 35TH ST SE",
            "address_2": "SUITE 11",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041352",
            "telephone_number": "304-720-9595",
            "fax_number": "304-720-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "304-720-9595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN82678-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.