Individual provider Active NPI

Linda Kelsh, NP

  • Women's Health Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1598821795
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
48137 Issued in WV
Practice address
510 Washington St W
Charleston, WV 25302-2036
Phone
(304) 344-9841
Fax
(304) 344-1756
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 48137 WV Primary

Addresses

Primary practice location

510 Washington St W
Charleston, WV 25302-2036

Mailing address

4311 Staunton Ave SE
Charleston, WV 25304-1727
Phone (304) 344-9841

Other identifiers 1

IdentifierTypeStateIssuer
3810006266MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
48137WVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Health Center of West Virginia Inc Women'S Health PastSince Jul 4, 2010 Accepting new patients
Women'S Health Center of WV, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26000/brand/2/csg/1/fhir/r4

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598821795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 STAUNTON AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041727",
            "telephone_number": "304-344-9841",
            "fax_number": "304-344-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WASHINGTON ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022036",
            "telephone_number": "304-344-9841",
            "fax_number": "304-344-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSH",
        "first_name": "LINDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WV",
            "license": "48137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006266",
            "state": "WV"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.