Individual provider Active NPI

Cherri Hagwood

  • Licensed Practical Nurse
  • Huntington, WV
National Provider Identifier
1639903768
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
40635 Issued in WV
Practice address
135 4TH Ave
Huntington, WV 25701-1219
Phone
(304) 525-5691
Fax
(304) 525-5693
NPI assigned
Aug 30, 2024
Last updated
Aug 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 40635 WV Primary

Addresses

Primary practice location

135 4TH Ave
Huntington, WV 25701-1219

Mailing address

135 4TH Ave
Huntington, WV 25701-1219
Phone (304) 525-5691

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

LicenseStateTypeSpecialty
40635WVMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1639903768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011219",
            "telephone_number": "304-525-5691",
            "fax_number": "304-525-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011219",
            "telephone_number": "304-525-5691",
            "fax_number": "304-525-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGWOOD",
        "first_name": "CHERRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "40635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.