Individual provider Active NPI

Barbara Fahey, C.R.N.P.

  • Family Nurse Practitioner
  • Weirton, WV
National Provider Identifier
1689671703
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COANP4982 Issued in OH
Practice address
3136 West St
Weirton, WV 26062-4637
Phone
(304) 797-7733
Fax
(304) 797-7740
NPI assigned
Jul 5, 2005
Last updated
Jan 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COANP4982 OH Primary
Family Nurse Practitioner 363LF0000X 53939 WV

Addresses

Primary practice location

3136 West St
Weirton, WV 26062-4637

Mailing address

3136 West St
Weirton, WV 26062-4637
Phone (304) 797-7733

Other identifiers 2

IdentifierTypeStateIssuer
710213400MedicaidWV
2284157MedicaidOH

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
I20050323000130 WV Practitioner - Nurse Practitioner 9133175219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab-Bray LLCGroup PAC ID 8527256460, 84 clinicians
Change IncorporatedGroup PAC ID 1759325327, 18 clinicians

Practice addresses (Care Compare)

2716 Sunset Blvd
Steubenville, OH 43952-1155
Phone (740) 264-0772

3136 W St
Weirton, WV 26062-4637
Phone (304) 748-2828

3158 W St
Weirton, WV 26062-4637

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COANP4982OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Change, Incorporated CurrentSince Aug 4, 2008 Accepting new patients
Dominic N. Ferrera, MD, Inc. Past Accepting new patients
Change Incorporated PastSince Aug 4, 2008 Accepting new patients

Locations

200 Luray Dr
Wintersville, OH 43953
Phone (304) 748-2828

1151 Washington St
Newell, WV 26050
Phone (304) 459-4010

3136 West St
Weirton, WV 26062
Phone (304) 748-2828

3158 West St
Weirton, WV 26062
Phone (304) 797-7733

Interoperability endpoints

  • Direct secure messaging: barb.faheywalker@fmcchc.eclinicaldirectplus.com

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1689671703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 WEST ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624637",
            "telephone_number": "304-797-7733",
            "fax_number": "304-797-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 WEST ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624637",
            "telephone_number": "304-797-7733",
            "fax_number": "304-797-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "BARBARA",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COANP4982",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "53939",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710213400",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2284157",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.