Individual provider Active NPI

Ashley Catherine Waybright, FNP-C

  • Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1649752791
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
61563 Issued in WV
Practice address
3100 Maccorkle Ave SE Ste 904
Charleston, WV 25304-1234
Phone
(304) 345-4031
Fax
(304) 344-0328
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 61563 WV Primary

Addresses

Primary practice location

3100 Maccorkle Ave SE Ste 904
Charleston, WV 25304-1234

Mailing address

3100 Maccorkle Ave SE
Charleston, WV 25304-1223
Phone (304) 345-4031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001000228 WV Practitioner - Nurse Practitioner 0547590853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61563WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Apr 23, 2021 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 23, 2021 Accepting new patients
R Sampath MD Inc Past Accepting new patients

Locations

3100 Maccorkle Ave SE
Ste 904
Charleston, WV 25304
Phone (304) 345-4031

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

11 Courtney Dr
Charleston, WV 25304
Phone (304) 925-8521

3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336

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.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1649752791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041223",
            "telephone_number": "304-345-4031",
            "fax_number": "304-344-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE STE 904",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041234",
            "telephone_number": "304-345-4031",
            "fax_number": "304-344-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYBRIGHT",
        "first_name": "ASHLEY",
        "middle_name": "CATHERINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "61563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.