Individual provider Active NPI

Ladina R Fields, FNP

  • Family Nurse Practitioner
  • Williamson, WV
National Provider Identifier
1497239487
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN63067-FNP-BC Issued in WV
Practice address
184 E 2ND Ave Ste 210
Williamson, WV 25661-3602
Phone
(304) 236-5902
Fax
(855) 487-4047
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 APRN63067-FNP-BC WV Primary

Addresses

Primary practice location

184 E 2ND Ave Ste 210
Williamson, WV 25661-3602

Mailing address

300 Prosperity LN Ste 204
Logan, WV 25601-3743
Phone (304) 792-7130

Other practice location 1

174 Lmah Center Rd
Logan, WV 25601-4058
Phone (304) 792-7130 ext. 1027

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
I20181130001359 WV Practitioner - Nurse Practitioner 9739423872 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN63067-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Health & Wellness Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Williamson Memorial, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Williamson Health & Wellness Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Williamson Health & Wellness Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Williamson Memorial, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Williamson Health & Wellness Center Inc Current Accepting new patients

Locations

859 Alderson St
Ste 1000
Williamson, WV 25661

184 E 2nd Ave
Williamson, WV 25661
Phone (304) 235-1844

184 E 2nd Ave
Ste 201
Williamson, WV 25661

859 Alderson St
Williamson, WV 25661
Phone (304) 235-2500

184 E 2nd Ave
Ste 210
Williamson, WV 25661

104 Logan St
Williamson, WV 25661
Phone (304) 235-0146

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1497239487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROSPERITY LN STE 204",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013743",
            "telephone_number": "304-792-7130",
            "fax_number": "304-896-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E 2ND AVE STE 210",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613602",
            "telephone_number": "304-236-5902",
            "fax_number": "855-487-4047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Lmah Center Rd",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256014058",
            "country_code": "US",
            "telephone_number": "304-792-7130 x1027",
            "fax_number": "304-896-5184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "LADINA",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN63067-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, WV

Sources for this page

Verify at the official NPI Registry.