Taylor Hartleben, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

105639 Issued in WV

Practice address

3819 Chesterfield Ave
Charleston, WV 25304-2647

Phone

(304) 925-4771

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Taylor Chambers Former name

Medicare fee-for-service enrollment

Enrolled in WV, VA, MD, DC4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Regional Healthcare Group LLCGroup PAC ID 8224412234, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: taylor.hartleben.1@22854.direct.athenahealth.com

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.

• Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1407587363

  WV

  Medicare reassignment Care Compare group NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  WV

  Medicare reassignment NPD
• Mobile Wound Care Services - Southeast PC

  • Specialist
  • Mount Juliet, TN
  • NPI 1134914518

  WV

  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  DC, Family, VA, WV

  Medicare reassignment NPD
• Post Acute Telehealth PC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1164011185

  Family, VA

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WV

  Medicare reassignment NPD
• Appalachian Aesthetics LLC

  • Primary Care Clinic/Center
  • Scott Depot, WV
  • NPI 1174488092
  NPD Authorized official
• Guardian Biologics LLC

  • Specialist
  • Mount Juliet, TN
  • NPI 1033890876
  NPD

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1649899261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 CHESTERFIELD AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042647",
            "telephone_number": "304-925-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEBEN",
        "first_name": "TAYLOR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "CHAMBERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sydni Nicole Harrison, DNAP-CRNA
• Vera Harrison
• Harry E. Duncan, Jr., M.D., PLLC
• Aron Hart
• Tamika Sherai Hart
• Wes Hartleben
• Shannon Hartley-Conner
• Abby Hartley
• Jessica Hartley
• Kaylee Rae Hartley, MSW

• All providers in Charleston, WV
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.