Individual provider Active NPI

Nicole Lim, FNP-BC

  • Family Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1346562584
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57655 Issued in WV
Practice address
3199 Core Rd
Parkersburg, WV 26104-1557
Phone
(304) 485-5185
Fax
(304) 485-1373
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 57655 WV Primary

Addresses

Primary practice location

3199 Core Rd
Parkersburg, WV 26104-1557

Mailing address

3199 Core Rd
Parkersburg, WV 26104-1557
Phone (304) 422-1405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101013000178 WV Practitioner - Nurse Practitioner 5193917839 Reassigns benefits to 1 organization
Practice locations: South Charleston, WV

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

218 D St
South Charleston, WV 25303-3104
Phone (304) 720-3835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psimed, Inc. CurrentSince Mar 11, 2019 Accepting new patients
Links LLC Past Accepting new patients

Locations

1520 Kanawha Blvd E
Charleston, WV 25311
Phone (681) 265-9047

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1346562584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 CORE RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041557",
            "telephone_number": "304-422-1405",
            "fax_number": "304-485-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 CORE RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041557",
            "telephone_number": "304-485-5185",
            "fax_number": "304-485-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "57655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.