Individual provider Active NPI

Rachel Leigh Stover, C-FNP

  • Family Nurse Practitioner
  • Man, WV
National Provider Identifier
1700880762
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
52887 Issued in WV
Practice address
600 E McDonald Ave
Man, WV 25635-1023
Phone
(304) 583-6541
Fax
(304) 583-6018
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 52887 WV Primary

Addresses

Primary practice location

600 E McDonald Ave
Man, WV 25635-1023

Mailing address

600 E McDonald Ave
Man, WV 25635-1023
Phone (304) 583-6541

Other identifiers 1

IdentifierTypeStateIssuer
7105274000MedicaidWV

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
I20040414001204 WV Practitioner - Nurse Practitioner 8729072368 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52887WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Associates Inc Current Accepting new patients
Family Healthcare Associates Inc Current Accepting new patients
Family Healthcare Associates Inc CurrentSince Mar 1, 2010 Accepting new patients
Family Healthcare Associates Inc Current Accepting new patients
Family Healthcare Associates, Inc CurrentSince Mar 1, 2010 Accepting new patients
Family Healthcare Associates Inc Current Accepting new patients
Medical Associates of Glen Daniel Past Accepting new patients
Medical Associates of Glen Daniels, PLLC Past Accepting new patients

Locations

114 Main St
Man, WV 25635
Phone (304) 583-0019

205 Howard Ave
Mullens, WV 25882
Phone (304) 294-4880

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1700880762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E MCDONALD AVE",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256351023",
            "telephone_number": "304-583-6541",
            "fax_number": "304-583-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MCDONALD AVE",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256351023",
            "telephone_number": "304-583-6541",
            "fax_number": "304-583-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "RACHEL",
        "middle_name": "LEIGH",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "52887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7105274000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Man, WV

Sources for this page

Verify at the official NPI Registry.