Jodi Silva-Dutey

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

104196 Issued in WV

Practice address

402 C Street
Ceredo, WV 25507

Phone

(304) 908-1204

Fax

(304) 908-1224

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, WV2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Emergency Physicians Ohio LLCGroup PAC ID 8527233261, 8 clinicians

Racine Observation Medical Group, PLLCGroup PAC ID 1254601578, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Medical Center Hospital, Huntington, WV, CCN 510007

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Racine Observation Medical Group, PLLC

  • Emergency Medicine Physician
  • Huntington, WV
  • NPI 1588196851

  Single Specialty, WV

  Medicare reassignment Care Compare group NPD
• Valley Emergency Physicians Ohio LLC

  • Emergency Medicine Physician
  • Ironton, OH
  • NPI 1528342961

  OH, Single Specialty

  Medicare reassignment Care Compare group NPD
• Allied West Virginia Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Huntington, WV
  • NPI 1487109104

  Single Specialty, WV

  Medicare reassignment NPD
• St Mary'S Hospitalist Services, LLC

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1942432687

  Single Specialty, WV

  Medicare reassignment NPD
• David J. Humphreys, MD, Psychiatrist Inc.

  • Psychiatry Physician
  • Huntington, WV
  • NPI 1891954384

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary'S Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1366084485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4100",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255044100",
            "telephone_number": "304-908-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 C STREET",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "25507",
            "telephone_number": "304-908-1204",
            "fax_number": "304-908-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6681 Ridge Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441295705",
            "country_code": "US",
            "telephone_number": "440-842-8675",
            "fax_number": "440-842-1299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA-DUTEY",
        "first_name": "JODI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2021-04-22",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "APRN.CNP.024952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memorial Hospital, Inc.
• Judith Ann Morrison
• Oncall Health and Aesthetic Care
• River Health Systems LLC
• Brittany Runyon
• Janice Lee Wellman

• All providers in Ceredo, WV
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.