Individual provider Active NPI

Zachary Isaac Dingess, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Logan, WV
National Provider Identifier
1699473959
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
115627 Issued in WV
Practice address
174 Mental Health Rd
Logan, WV 25601
Phone
(304) 792-9130
NPI assigned
Feb 16, 2023
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 115627 WV Primary

Addresses

Primary practice location

174 Mental Health Rd
Logan, WV 25601

Mailing address

174 Lmah Center Rd
Logan, WV 25601-4058
Phone (304) 792-9130

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
I20230920004215 WV Practitioner - Nurse Practitioner 0345694691 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115627WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Logan-Mingo Area Mental Health, Inc. Current Accepting new patients
Logan Mingo Area Mental Health Inc CurrentSince Aug 7, 2023 Accepting new patients
Logan-Mingo Area Mental Health, Inc CurrentSince Aug 7, 2023 Accepting new patients
Logan-Mingo Area Mental Health, Inc. Past Accepting new patients

Locations

174 Lmah Center Rd
Logan, WV 25601
Phone 3047927130 ext. 1027

174 Lmah Center Rd
#176
Logan, WV 25601
Phone 30479271301027

Interoperability endpoints

  • Direct secure messaging: zachary.dingess.1@21756.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1699473959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 LMAH CENTER RD",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256014058",
            "telephone_number": "304-792-9130",
            "fax_number": "304-792-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MENTAL HEALTH RD",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "25601",
            "telephone_number": "304-792-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGESS",
        "first_name": "ZACHARY",
        "middle_name": "ISAAC",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "115627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

Verify at the official NPI Registry.