Organization Active NPI

Kanawha Institute for Social Research & Action, Inc.

  • Family Nurse Practitioner
  • Dunbar, WV
National Provider Identifier
1619239407
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62704 Issued in WV
Legal business name
KANAWHA INSTITUTE FOR SOCIAL RESEARCH & ACTION, INC.
Practice address
131 Perkins Ave
Dunbar, WV 25064-1433
Phone
(304) 768-8924
NPI assigned
Jun 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Dr. Michelle Foster
Title
Ceo
Phone
(304) 768-8924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 62704 WV Primary

Addresses

Primary practice location

131 Perkins Ave
Dunbar, WV 25064-1433

Mailing address

131 Perkins Ave
Dunbar, WV 25064-1433
Phone (304) 768-8924

Other names 1

  • KISRA Other name

National Provider Directory

National Provider Directory

Locations

131 Perkins Ave
Dunbar, WV 25064
Phone (304) 205-0540

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1619239407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PERKINS AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250641433",
            "telephone_number": "304-768-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PERKINS AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250641433",
            "telephone_number": "304-768-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAWHA INSTITUTE FOR SOCIAL RESEARCH & ACTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-768-8924",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "62704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KISRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dunbar, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.