New Hope Functional Medicine LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

83280 Issued in WV

Legal business name

NEW HOPE FUNCTIONAL MEDICINE LLC

Practice address

117 B Three Springs Drive
Weirton, WV 26062

Phone

(304) 723-2494

Fax

(304) 723-4454

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Charlotte Marion Jones, CFNP

Title

Owner

Phone

(304) 479-2580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1447763511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 SKYVIEW DR",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439537266",
            "telephone_number": "304-479-2580",
            "fax_number": "304-264-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 B THREE SPRINGS DRIVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-723-2494",
            "fax_number": "304-723-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE FUNCTIONAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-479-2580",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WV",
            "license": "83280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Weirton, WV
• Providers in Weirton, WV by specialty
• Primary Care Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.