Active NPI
Halie Brooke Swick, FNP
- Family Nurse Practitioner
- Petersburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 117117
- Practice address
- 117 Hospital Dr
Petersburg, WV 26847-9566 - Phone
- (304) 257-1026
- NPI assigned
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 117117 | WV | Primary |
Addresses
Primary practice location
117 Hospital Dr
Petersburg, WV 26847-9566
Mailing address
PO Box 1262
Petersburg, WV 26847-1262
Phone (304) 851-9545
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 Hospital Dr
Petersburg, WV 26847-9566
Phone (304) 257-1026
Hospital & facility affiliations
- Grant Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117117 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Memorial Hospital Inc | Current | Accepting new patients | |
| Smoky Mountain Emergency Services, Inc. | Current | Accepting new patients | |
| Grant Memorial Hospital Inc | Current | Accepting new patients | |
| Health Care Alliance, Inc. | Current | Accepting new patients |
Locations
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312
454 McDowell St
Welch, WV 24801
Phone (304) 436-8461
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Petersburg, WV
- NPI 1013603919
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1730128760
-
- Internal Medicine Physician
- Daniels, WV
- NPI 1275551731
-
- Family Medicine Physician
- Petersburg, WV
- NPI 1679269583
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Petersburg, WV
- NPI 1013603919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1679346274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1262",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "268471262",
"telephone_number": "304-851-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 HOSPITAL DR",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "268479566",
"telephone_number": "304-257-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWICK",
"first_name": "HALIE",
"middle_name": "BROOKE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "117117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.