NPIMap

Individual provider Active NPI

Victoria Ann Redden, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Oak Hill, WV
National Provider Identifier
1487251450
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
117550 Issued in WV
Practice address
430 Main St W
Oak Hill, WV 25901-3414
Phone
(304) 469-8600
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 89200 WV
Acute Care Nurse Practitioner 363LA2100X 117550 WV Primary

Addresses

Primary practice location

430 Main St W
Oak Hill, WV 25901-3414

Mailing address

Dept 888163
Knoxville, TN 37995-1215
Phone (276) 325-0678

Other practice location 1

3100 MacCorkle Ave SE Ste 101
Charleston, WV 25304-1215
Phone (304) 388-5395

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
I20231215000745 WV Practitioner - Nurse Practitioner 1456700491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3100 Maccorkle Ave SE
Suite 101
Charleston, WV 25304-1215
Phone (304) 388-5590

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89200WVMDRegistered Nurse
117550WVMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Nov 7, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Nov 7, 2023 Accepting new patients

Locations

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

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

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

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 12

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1487251450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 888163",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379951215",
            "telephone_number": "276-325-0678",
            "fax_number": "855-858-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAIN ST W",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013414",
            "telephone_number": "304-469-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 MacCorkle Ave SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041215",
            "country_code": "US",
            "telephone_number": "304-388-5395",
            "fax_number": "304-388-5398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDEN",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "89200",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WV",
            "license": "117550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.