Individual provider Active NPI

Candy Yvette Sturgeon

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1518770346
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
121838 Issued in WV
Practice address
55 Donohoe Dr
Huntington, WV 25705-8887
Phone
(304) 525-7851
Fax
(304) 525-1073
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 121838 WV Primary

Addresses

Primary practice location

55 Donohoe Dr
Huntington, WV 25705-8887

Mailing address

99 Cracker Barrel Dr Ste 100
Barboursville, WV 25504-1650
Phone (304) 525-7851

Other practice location 1

203 Kenova Ave
Wayne, WV 25570-9795
Phone (304) 525-7851

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
I20250321000543 WV Practitioner - Nurse Practitioner 9436671211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 525-7851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121838WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestera Center for Mental Health Services Inc CurrentSince Feb 17, 2025 Accepting new patients
Prestera Center for Mental Health Services Inc CurrentSince Feb 17, 2025 Accepting new patients

Locations

99 Cracker Barrel Dr
Ste 100
Barboursville, WV 25504
Phone 30452578512514

376 Kenmore Dr
Danville, WV 25053
Phone (304) 369-1930

55 Donohoe Dr
Huntington, WV 25705

203 Kenova Ave
Wayne, WV 25570
Phone (304) 272-5136

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.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1518770346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CRACKER BARREL DR STE 100",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041650",
            "telephone_number": "304-525-7851",
            "fax_number": "304-525-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DONOHOE DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058887",
            "telephone_number": "304-525-7851",
            "fax_number": "304-525-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Kenova Ave",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "WV",
            "postal_code": "255709795",
            "country_code": "US",
            "telephone_number": "304-525-7851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STURGEON",
        "first_name": "CANDY",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "121838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.