Active NPI
Doris Jean Cowgill, CRNA
- Registered Nurse
- Buckhannon, WV
National Provider Identifier
1639289150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 12611
- Practice address
- 1 Amalia Dr
Buckhannon, WV 26201-2276 - Phone
- (304) 473-2000
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 12611 | WV | Primary |
Addresses
Primary practice location
1 Amalia Dr
Buckhannon, WV 26201-2276
Mailing address
926 Ridgemont Rd
Charleston, WV 25314-1136
Phone (304) 343-6707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12611 | Other | WV | VEST VIRGINIA LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12611 | WV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksdale Hma LLC | Past | Accepting new patients | |
| Stuttgart Regional Medical Center | Past | Accepting new patients | |
| Stuttgart Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Clarksdale, MS
- NPI 1386679744
-
- General Acute Care Hospital
- Stuttgart, AR
- NPI 1306921747
-
- Certified Registered Nurse Anesthetist
- Stuttgart, AR
- NPI 1316955891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639289150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 RIDGEMONT RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141136",
"telephone_number": "304-343-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AMALIA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012276",
"telephone_number": "304-473-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWGILL",
"first_name": "DORIS",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "12611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VEST VIRGINIA LICENSE",
"identifier": "12611",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buckhannon, 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.