NPIMap

Individual provider Active NPI

Lucy Kara Shamblin, D.O.

  • Family Medicine Physician
  • Ripley, WV
National Provider Identifier
1528208774
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2473 Issued in WV
Practice address
174 Pinnell St Ste D
Ripley, WV 25271-9105
Phone
(304) 372-1740
Fax
(304) 372-3069
NPI assigned
Mar 1, 2009
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Allergy Physician 207KA0200X 2473 WV
Family Medicine Physician 207Q00000X 2473 WV Primary

Addresses

Primary practice location

174 Pinnell St Ste D
Ripley, WV 25271-9105

Mailing address

174 Pinnell St Ste D
Ripley, WV 25271-9105
Phone (304) 372-1740

Other identifiers 7

IdentifierTypeStateIssuer
3810024964MedicaidWV
WV2080HOtherWVMEDICARE PTAN
WV2180EOtherWVMEDICARE PTAN
WV2180GOtherWVMEDICAARE PTAN
003577627OtherWVUHC MPIN
WV2180FOtherWVMEDICARE PTAN
WV2180DOtherWVMEDICARE PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lshamblin155904@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address lshamblin155904@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20121207000308 WV Practitioner - Family Practice 2769634245 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health AssociationGroup PAC ID 1759291313, 69 clinicians

Practice addresses (Care Compare)

122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-2731

146 Pinnell St
Ripley, WV 25271-9101

158 Pinnell St
Suite a
Ripley, WV 25271-9101
Phone (304) 373-1630

174 Pinnell St
Ripley, WV 25271-9105

186 Pinnell St
Ripley, WV 25271-9101
Phone (304) 373-1546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association Family Medicine CurrentSince Jul 8, 2019 Accepting new patients
Community Health Association CurrentSince Jul 8, 2019 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Greenbrier Emergency Services, Inc. CurrentSince May 16, 2015 Accepting new patients
Womencare Inc Current Accepting new patients
Community Health Association CurrentSince Dec 21, 2025 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Family Medicine CurrentSince Feb 25, 2017 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc CurrentSince Jun 1, 2015 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients
Community Health Association Past Accepting new patients
Bestpractices of West Virginia, Inc. Past Accepting new patients

Locations

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

515 Main St
Madison, WV 25130
Phone (304) 369-0393

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

174 Pinnell St
Ste D
Ripley, WV 25271
Phone (304) 373-0280

200 Academy Dr
Ripley, WV 25271
Phone (304) 372-1050

12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lshamblin155904@direct.wvuhsdirect.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1235865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1528208774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 PINNELL ST STE D",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719105",
            "telephone_number": "304-372-1740",
            "fax_number": "304-372-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 PINNELL ST STE D",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719105",
            "telephone_number": "304-372-1740",
            "fax_number": "304-372-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "LUCY",
        "middle_name": "KARA",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-01",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "WV",
            "license": "2473",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810024964",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WV2080H",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WV2180E",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAARE PTAN",
            "identifier": "WV2180G",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MPIN",
            "identifier": "003577627",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WV2180F",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WV2180D",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lshamblin155904@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 Pinnell St",
            "city": "Ripley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "252719101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lshamblin155904@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 Pinnell St",
            "city": "Ripley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "252719101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

Verify at the official NPI Registry.