Individual provider Active NPI

Angela R Jones-Ball

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1386947810
Registry record updated Dec 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
50804 Issued in WV
Practice address
306 Stanaford Rd
Beckley, WV 25801-3142
Phone
(304) 255-3000
NPI assigned
Dec 5, 2010
Last updated
Dec 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2010

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 50804 WV Primary

Addresses

Primary practice location

306 Stanaford Rd
Beckley, WV 25801-3142

Mailing address

306 Stanaford Rd
Beckley, WV 25801-3142
Phone (304) 255-3000

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
I20110127000773 WV Practitioner - Nurse Practitioner 8325227952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50804WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beckley Emergency Physicians LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Southern West Virginia, IncBeckley, WV, CCN 511506 Hospice Corporate Director Jan 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, 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": "1291507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291507200000",
    "number": "1386947810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013142",
            "telephone_number": "304-255-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013142",
            "telephone_number": "304-255-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-BALL",
        "first_name": "ANGELA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-05",
        "last_updated": "2010-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "50804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.