Individual provider Active NPI

Jamie Michele Brunetti, RNMSNAPRNFNP-BC

  • Family Nurse Practitioner
  • Barboursville, WV
National Provider Identifier
1659704187
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70847 Issued in WV
Practice address
6475 Farmdale Road
Barboursville, WV 25504
Phone
(304) 529-7004
Fax
(304) 529-7303
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 70847 WV Primary

Addresses

Primary practice location

6475 Farmdale Road
Barboursville, WV 25504

Mailing address

6475 Farmdale Rd
Barboursville, WV 25504-1321
Phone (304) 529-7004

Other identifiers 2

IdentifierTypeStateIssuer
3810026861MedicaidWV
WV3385AOtherWVMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamie.brunetti@marshall.cernerdirect.com

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
I20131104001013 WV Practitioner - Nurse Practitioner 1951536770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
70847WVMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jamie.brunetti.1@16636.direct.athenahealth.com
  • Direct secure messaging: jamie.brunetti@marshall.cernerdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1659704187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 FARMDALE RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041321",
            "telephone_number": "304-529-7004",
            "fax_number": "304-345-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 FARMDALE ROAD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "25504",
            "telephone_number": "304-529-7004",
            "fax_number": "304-529-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETTI",
        "first_name": "JAMIE",
        "middle_name": "MICHELE",
        "credential": "RNMSNAPRNFNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "70847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026861",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WV3385A",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.brunetti@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste 3500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.