Jennifer Fain

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

72618 Issued in WV

Practice address

19771 Coal Heritage Rd
Welch, WV 24801-9825

Phone

(304) 436-6650

Fax

(304) 436-2629

NPI assigned

Jun 6, 2016

Last updated

May 24, 2018By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Healthcare Associates Inc

  • Rural Health Clinic/Center
  • Mullens, WV
  • NPI 1700815800
  Medicare reassignment NPD
• Tug River Health Association, Inc

  • Federally Qualified Health Center (FQHC)
  • Gary, WV
  • NPI 1174501068
  Medicare reassignment NPD
• Family Healthcare Associates Inc

  • Rural Health Clinic/Center
  • Oceana, WV
  • NPI 1275562373
  NPD
• Family Healthcare Associates Inc

  • Rural Health Clinic/Center
  • Gilbert, WV
  • NPI 1376572479
  NPD
• Family Healthcare Associates Inc

  • Rural Health Clinic/Center
  • Man, WV
  • NPI 1902835010
  NPD
• Family Healthcare Associates, Inc

  • Rural Health Clinic/Center
  • Welch, WV
  • NPI 1215365028
  NPD
• Tug River Health Association, Inc

  dba Pineville Children's Clinic

  • Federally Qualified Health Center (FQHC)
  • Gary, WV
  • NPI 1407922891
  NPD

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1679922132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "248741650",
            "telephone_number": "304-732-6735",
            "fax_number": "304-732-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19771 COAL HERITAGE RD",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248019825",
            "telephone_number": "304-436-6650",
            "fax_number": "304-436-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "WV",
            "postal_code": "24874",
            "country_code": "US",
            "telephone_number": "304-732-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "926 Cook Parkway",
            "address_purpose": "LOCATION",
            "city": "Oceana",
            "state": "WV",
            "postal_code": "24870",
            "country_code": "US",
            "telephone_number": "304-682-8238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Main St",
            "address_purpose": "LOCATION",
            "city": "Man",
            "state": "WV",
            "postal_code": "256351212",
            "country_code": "US",
            "telephone_number": "304-583-0019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "WV",
            "postal_code": "25635",
            "country_code": "US",
            "telephone_number": "304-664-5699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Howard Ave",
            "address_purpose": "LOCATION",
            "city": "Mullens",
            "state": "WV",
            "postal_code": "258821420",
            "country_code": "US",
            "telephone_number": "304-294-4880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "72618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Easterling
• Sharon Ranae Edgell
• Loretta Edwards
• Sandra Ann Edwards
• Machelle Rena England
• Family Healthcare Associates Inc
• Family Healthcare Associates, Inc
• Jennifer Lynn Farley
• Donna Flaim, PAC
• Flat Iron Pharmacy, LLC

• Nurse Practitioner in Welch, WV
• Providers in Welch, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.