Active NPI
Heidi E Dolin, FNP
- Family Nurse Practitioner
- Fayetteville, WV
National Provider Identifier
1760647929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 43508
- Practice address
- 439 Elizabeth Hwy
Fayetteville, WV 25840 - Phone
- (304) 574-2600
- Fax
- (304) 574-2951
- NPI assigned
- Jul 26, 2008
- Last updated
- Feb 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 43508 | WV | Primary |
Addresses
Primary practice location
439 Elizabeth Hwy
Fayetteville, WV 25840
Mailing address
439 Elizabeth Hwy
Fayetteville, WV 25840
Phone (304) 574-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43508 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Hultman Inc | Past | Accepting new patients |
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, 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": "1217030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1760647929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 ELIZABETH HWY",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "25840",
"telephone_number": "304-574-2600",
"fax_number": "304-574-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 ELIZABETH HWY",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "25840",
"telephone_number": "304-574-2600",
"fax_number": "304-574-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLIN",
"first_name": "HEIDI",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-26",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "43508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.