Active NPI
Catherine Marie Moorehead, CDMS, CMC, QRP
- Case Manager/Care Coordinator
- Fayetteville, WV
National Provider Identifier
1609073261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 00000260
- Practice address
- 131 Daniels St
Fayetteville, WV 25840-1215 - Phone
- (304) 574-2950
- Fax
- (304) 574-2958
- NPI assigned
- Jun 28, 2007
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 00000260 | WV | Primary |
Addresses
Primary practice location
131 Daniels St
Fayetteville, WV 25840-1215
Mailing address
PO Box 81
Fayetteville, WV 25840-0081
Phone (304) 574-2950
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000260 | Other | WV | QRP |
| 281745303-00 | Other | OH | PROVIDER NUMBER, OBWC |
| 00044981 | Other | WV | CDMS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000260 | WV | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609073261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258400081",
"telephone_number": "304-574-2950",
"fax_number": "304-574-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 DANIELS ST",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258401215",
"telephone_number": "304-574-2950",
"fax_number": "304-574-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOREHEAD",
"first_name": "CATHERINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CDMS, CMC, QRP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WV",
"license": "00000260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QRP",
"identifier": "00000260",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER, OBWC",
"identifier": "281745303-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDMS",
"identifier": "00044981",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, 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.