Individual provider Active NPI

Kathryn L Wellman, NP

  • Nurse Practitioner
  • Varney, WV
National Provider Identifier
1679686943
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
56173 Issued in WV
Practice address
Route 52
Varney Medical Center
Varney, WV 25696
Phone
(304) 426-8113
Fax
(304) 426-8102
NPI assigned
Aug 17, 2006
Last updated
Mar 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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 56173 WV Primary

Addresses

Primary practice location

Route 52
Varney Medical Center
Varney, WV 25696

Mailing address

PO Box 176
Logan, WV 25601-0176
Phone (304) 792-7130

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
I20130306000609 WV Practitioner - Nurse Practitioner 1759536204 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56173WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Hospitalist Group Inc CurrentSince Jun 15, 2021 Accepting new patients
Huntington Hospitalist Group Inc CurrentSince Mar 7, 2020 Accepting new patients
Huntington Hospitalist Group Inc CurrentSince Mar 7, 2020 Accepting new patients

Locations

2828 1st Ave
Ste 204
Huntington, WV 25702
Phone (304) 525-7111

221 4th Ave
Saint Albans, WV 25177
Phone (304) 520-0461

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1679686943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256010176",
            "telephone_number": "304-792-7130",
            "fax_number": "304-792-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 52",
            "address_2": "VARNEY MEDICAL CENTER",
            "city": "VARNEY",
            "state": "WV",
            "postal_code": "25696",
            "telephone_number": "304-426-8113",
            "fax_number": "304-426-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "56173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Varney, WV

Sources for this page

Verify at the official NPI Registry.