Fonda Deeann Harrell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

63171 Issued in WV

Practice address

176 Medical Center Dr
Rainelle, WV 25962-1064

Phone

(304) 438-6188

Fax

(304) 438-6819

NPI assigned

Oct 15, 2012

Last updated

Jan 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainelle Medical Center IncGroup PAC ID 7416861810, shared by 16 NPIs, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fondaharrell@rmc.allscriptsdirect.net

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.

• Rainelle Medical Center Inc

  dba Meadow Bridge Clinic

  • Federally Qualified Health Center (FQHC)
  • Meadow Bridge, WV
  • NPI 1093883324
  Medicare reassignment NPD
• Rainelle Medical Center Inc

  dba Summers County Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Hinton, WV
  • NPI 1285303156
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  dba Eastern Greenbrier Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265101273
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  dba RMC Lewisburg Pediatrics and Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1679223390
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  dba White Sulphur Springs Health Center

  • Federally Qualified Health Center (FQHC)
  • White Sulphur Springs, WV
  • NPI 1093165722
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  dba Lewisburg Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1497244412
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  dba Maxwelton Health Center

  • Federally Qualified Health Center (FQHC)
  • Maxwelton, WV
  • NPI 1528417946
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  dba Midland Trail Health Center

  • Federally Qualified Health Center (FQHC)
  • Hico, WV
  • NPI 1952815268
  Medicare reassignment NPD
• Mountain State Vascular, Inc.

  • Vascular Surgery Physician
  • Beckley, WV
  • NPI 1104318625
  NPD
• Rainelle Medical Center Inc

  dba Rupert Health Center

  • Federally Qualified Health Center (FQHC)
  • Rupert, WV
  • NPI 1811081821
  NPD
• Rainelle Medical Center, Inc

  dba Lewisburg Behavioral Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265068001
  NPD
• Rainelle Medical Center, Inc

  dba RMC Greenbrier Nephrology Center

  • Specialist
  • Lewisburg, WV
  • NPI 1437772225
  NPD

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1417200445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188",
            "fax_number": "304-438-6819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 George St",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "25801",
            "country_code": "US",
            "telephone_number": "304-250-0382",
            "fax_number": "304-250-0382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "FONDA",
        "middle_name": "DEEANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "63171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrienda Alexandria Hanna
• Alyssa Ann Hanna
• Lindsey Marie Hanna
• Tammy Jean Hanna
• Thomas Harrah Jr.
• Destiny Hayes, MSW, LICSW
• Heartland of Rainelle WV LLC (Heartland of Rainelle)
• Heather Gail Heaster, D.D.S.
• Brittany Hedrick
• Holly Anne Hendrix

• Family Nurse Practitioner in Rainelle, WV
• Providers in Rainelle, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.