Individual provider Active NPI

London Lefevre, NP-C

  • Nurse Practitioner
  • Bridgeport, WV
National Provider Identifier
1750848792
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
89206 Issued in WV
Practice address
7 Chenoweth Dr
Bridgeport, WV 26330-1887
Phone
(304) 842-5777
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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 89206 WV Primary

Addresses

Primary practice location

7 Chenoweth Dr
Bridgeport, WV 26330-1887

Mailing address

PO Box 763
Morgantown, WV 26507-0763
Phone (800) 541-4009

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
I20190521000508 WV Practitioner - Nurse Practitioner 8628311396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89206WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Physicians Care Inc Nurse Practitioner CurrentSince May 13, 2019 Accepting new patients
United Physicians Care Inc Nurse Practitioner CurrentSince May 13, 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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1750848792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070763",
            "telephone_number": "800-541-4009"
        },
        {
            "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": "304-842-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVRE",
        "first_name": "LONDON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "89206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.