Individual provider Active NPI

Jacqui Lynn Hill, APRN, FNP-BC

  • Nurse Practitioner
  • Princeton, WV
National Provider Identifier
1720444615
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
60105 Issued in WV
Practice address
143 Undercliff Ter
Inas Alattar - Pediatrics
Princeton, WV 24740-2175
Phone
(304) 487-0415
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 60105 WV Primary

Addresses

Primary practice location

143 Undercliff Ter
Inas Alattar - Pediatrics
Princeton, WV 24740-2175

Mailing address

143 Undercliff Terrace
Inas Alattar- Pediatrics
Princeton, WV 24740
Phone (304) 487-0415

Other practice location 1

1709 Harper Rd
Beckley, WV 25801-3311
Phone (304) 256-3027

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
I20241007004088 WV Order and Referring Only - Nurse Practitioner 5395006175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60105WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inas H Al-Attar PastSince May 3, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19194/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1720444615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 UNDERCLIFF TERRACE",
            "address_2": "INAS ALATTAR- PEDIATRICS",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24740",
            "telephone_number": "304-487-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 UNDERCLIFF TER",
            "address_2": "INAS ALATTAR - PEDIATRICS",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402175",
            "telephone_number": "304-487-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Harper Rd",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013311",
            "country_code": "US",
            "telephone_number": "304-256-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "JACQUI",
        "middle_name": "LYNN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "60105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.