Active NPI
Kaelyn Terese Drainer
- Licensed Practical Nurse
- Morgantown, WV
National Provider Identifier
1346965951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 39568
- Practice address
- 829 Fairmont Rd
Morgantown, WV 26501-0088 - Phone
- (304) 305-1506
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 39568 | WV | Primary |
Addresses
Primary practice location
829 Fairmont Rd
Morgantown, WV 26501-0088
Mailing address
829 Fairmont Rd
Morgantown, WV 26501-0088
Phone (304) 305-1506
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39568 | WV | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1346965951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 FAIRMONT RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265010088",
"telephone_number": "304-305-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 FAIRMONT RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265010088",
"telephone_number": "304-305-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAINER",
"first_name": "KAELYN",
"middle_name": "TERESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WV",
"license": "39568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.