NPIMap

Individual provider Active NPI

Kisha Lanece James, MSN, FNP-BC

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1427656735
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
107514 Issued in WV
Practice address
16 Red Mulberry Way Apt 3
Charleston, WV 25306-0107
Phone
(304) 989-8534
NPI assigned
Oct 9, 2020
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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 107514 WV Primary

Addresses

Primary practice location

16 Red Mulberry Way Apt 3
Charleston, WV 25306-0107

Mailing address

16 Red Mulberry Way Apt 3
Charleston, WV 25306-0107
Phone (304) 989-8534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220611000090 WV Practitioner - Family Practice 8820476351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
107514WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Feb 23, 2025 Accepting new patients
Skyline Wound Care PLLC CurrentSince Apr 1, 2022 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Feb 23, 2025 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

7742 N Kendall Dr
Miami, FL 33156
Phone (305) 274-2403

3100 Maccorkle Ave SE
Ste 101
Charleston, WV 25304
Phone (304) 388-5395

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

8 Rose St
Grafton, WV 26354
Phone (304) 265-0095

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

260 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-7527

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1427656735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RED MULBERRY WAY APT 3",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253060107",
            "telephone_number": "304-989-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 RED MULBERRY WAY APT 3",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253060107",
            "telephone_number": "304-989-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KISHA",
        "middle_name": "LANECE",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.