Individual provider Active NPI

Alisah S Fink, FNP-C

  • Family Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1467846196
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66013 Issued in WV
Practice address
2012 Garfield Avenue
Suite B
Parkersburg, WV 26104-2527
Phone
(304) 893-9090
Fax
(304) 893-9113
NPI assigned
Mar 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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 66013 WV Primary

Addresses

Primary practice location

2012 Garfield Avenue
Suite B
Parkersburg, WV 26104-2527

Mailing address

2012 Garfield Avenue
Parkersburg, WV 26104
Phone (304) 893-9090

Other names 1

  • Alisha S Clark Former name

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
I20150625000860 WV Practitioner - Nurse Practitioner 7810208220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Ohio Valley Medicine and Pediatrics PLLC 2 clinicians

Practice addresses (Care Compare)

2012 Garfield Ave
Suite 2
Parkersburg, WV 26101-2527
Phone (304) 893-9090

Hospital & facility affiliations

  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Ohio Valley Medicine & Pediatrics PLLC CurrentSince May 14, 2015 Accepting new patients
River Valley Medicine and Pediatrics Inc. Family PastSince May 14, 2015 Accepting new patients

Locations

2012 Garfield Ave
Ste 2
Parkersburg, WV 26101
Phone (304) 424-4650

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1467846196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 GARFIELD AVENUE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26104",
            "telephone_number": "304-893-9090",
            "fax_number": "304-893-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 GARFIELD AVENUE",
            "address_2": "SUITE B",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042527",
            "telephone_number": "304-893-9090",
            "fax_number": "304-893-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "ALISAH",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "66013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISHA",
            "last_name": "CLARK",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.