Active NPI
Connie Sue Yokum, FNP
- Family Nurse Practitioner
- Charleston, WV
National Provider Identifier
1558180091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 120488
- Practice address
- 700 Chappell Rd
Charleston, WV 25304-2704 - Phone
- (304) 644-0504
- NPI assigned
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 120488 | WV | Primary |
Addresses
Primary practice location
700 Chappell Rd
Charleston, WV 25304-2704
Mailing address
1712 Lavalette Ave
Elkins, WV 26241-3020
Phone (304) 614-8320
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PA Post Acute Services PC | Current | Accepting new patients | |
| Stonerise Services, LLC | Family | Current | Accepting new patients |
Locations
183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280
700 Chappell Rd
Charleston, WV 25304
Phone (304) 343-1950
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": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1558180091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 LAVALETTE AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413020",
"telephone_number": "304-614-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHAPPELL RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042704",
"telephone_number": "304-644-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOKUM",
"first_name": "CONNIE",
"middle_name": "SUE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "120488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.