Active NPI
Faith Haven Healthcare, LLC
- General Practice Physician
- Ripley, WV
National Provider Identifier
1548095904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FAITH HAVEN HEALTHCARE, LLC
- Practice address
- 222 Main St W
Ripley, WV 25271-1432 - Phone
- (304) 372-9679
- Fax
- (304) 373-0117
- NPI assigned
- Sep 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tabitha Lynn Smith, APRN
- Title
- Owner, FNPC, Medical Director
- Phone
- (304) 372-9679
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
222 Main St W
Ripley, WV 25271-1432
Mailing address
222 Main St W
Ripley, WV 25271-1432
Phone (304) 372-9679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Ripley, WV
- NPI 1073003117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1548095904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MAIN ST W",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252711432",
"telephone_number": "304-372-9679",
"fax_number": "304-373-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MAIN ST W",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252711432",
"telephone_number": "304-372-9679",
"fax_number": "304-373-0117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH HAVEN HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-05",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TABITHA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER, FNPC, MEDICAL DIRECTOR",
"authorized_official_telephone_number": "304-372-9679",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ripley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.