Kala Nicole Dameron, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

110557 Issued in WV

Practice address

1320 Maplewood Ave
Ronceverte, WV 24970-8016

Phone

(304) 647-4411

NPI assigned

Aug 22, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Camc Greenbrier Valley Medical Center Inc

  • Cardiovascular Disease Physician
  • Ronceverte, WV
  • NPI 1588373872
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1649998907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 SIMMS MOUNTAIN RD",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259629814",
            "telephone_number": "304-228-7580",
            "fax_number": "681-318-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016",
            "telephone_number": "304-647-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMERON",
        "first_name": "KALA",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "110557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Ann Cox
• Jessica Lee Crane, RN
• Debra R Crites-Sams, DO
• Marcus Crookshanks
• Nicholas Dakota Dailey, MS, LAT, ATC, PAC
• Halea Dangott
• Wilma Dangott
• Daniel M Davis, DPT
• Jessica R Davis, CRNA
• Katherine V Dean, CRNA

• Family Nurse Practitioner in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.