Individual provider Active NPI

Katherine Maria Owens, FNP-C

  • Family Nurse Practitioner
  • Bridgeport, WV
National Provider Identifier
1730652900
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
88894 Issued in WV
Practice address
7 Chenoweth Dr
Bridgeport, WV 26330-1887
Phone
(304) 842-3318
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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 88894 WV Primary

Addresses

Primary practice location

7 Chenoweth Dr
Bridgeport, WV 26330-1887

Mailing address

635 Pennsylvania Ave
Bridgeport, WV 26330-1234
Phone (304) 672-4500

Other identifiers 1

IdentifierTypeStateIssuer
88894OtherWVWVU STATE BOARD OF NURSING

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
I20190326001338 WV Practitioner - Nurse Practitioner 9133469315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88894WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Physicians Care Inc CurrentSince Jan 19, 2019 Accepting new patients
United Physicians Care Inc CurrentSince Jan 19, 2019 Accepting new patients

Locations

7 Chenoweth Dr
Bridgeport, WV 26330
Phone (304) 842-3318

1370 Johnson Ave
Ste 102
Bridgeport, WV 26330
Phone (681) 342-3452

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

Organizations & group practices 2

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": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1730652900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 PENNSYLVANIA AVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301234",
            "telephone_number": "304-672-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHENOWETH DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301887",
            "telephone_number": "304-842-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "KATHERINE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "88894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WVU STATE BOARD OF NURSING",
            "identifier": "88894",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.