Individual provider Active NPI

Rachel E Sammons, APRN

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1447913462
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
107289 Issued in WV
Practice address
1415 6TH Ave
Huntington, WV 25701-2420
Phone
(304) 523-1142
NPI assigned
Oct 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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 107289 WV Primary

Addresses

Primary practice location

1415 6TH Ave
Huntington, WV 25701-2420

Mailing address

138 Wheeler Hollow Rd
Fort Gay, WV 25514-8511

Other practice location 1

71 Wayne St
Fort Gay, WV 25514-8518
Phone (304) 648-5544

Other identifiers 1

IdentifierTypeStateIssuer
1447913462MedicaidWV

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
I20221026001608 WV Practitioner - Nurse Practitioner 5294101648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, 110 clinicians

Practice addresses (Care Compare)

2585 3Rd Ave
Huntington, WV 25703-1642

71 Wayne St
Fort Gay, WV 25514-8518
Phone (304) 648-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
107289WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Nov 14, 2022 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Family CurrentSince Nov 14, 2022 Accepting new patients

Locations

71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544

Organizations & group practices 3

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": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1447913462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 WHEELER HOLLOW RD",
            "city": "FORT GAY",
            "state": "WV",
            "postal_code": "255148511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012420",
            "telephone_number": "304-523-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Wayne St",
            "address_purpose": "LOCATION",
            "city": "Fort Gay",
            "state": "WV",
            "postal_code": "255148518",
            "country_code": "US",
            "telephone_number": "304-648-5544",
            "fax_number": "304-648-5989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "RACHEL",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447913462",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.