Jennifer R. Daugherty, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

82630 Issued in WV

Practice address

204 Jefferson Avenue
Grant County Board of Education
Petersburg, WV 26847

Phone

(304) 267-3595

Fax

(304) 267-3599

NPI assigned

Mar 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Grant County Board of Education

  • Local Education Agency (LEA)
  • Petersburg, WV
  • NPI 1700055365
  NPD (past)
• Grant County Board of Education

  • Local Education Agency (LEA)
  • Petersburg, WV
  • NPI 1750579066
  NPD (past)

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1780926311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 JEFFERSON AVENUE",
            "address_2": "GRANT COUNTY BOARD OF EDUCATION",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "26847",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 JEFFERSON AVENUE",
            "address_2": "GRANT COUNTY BOARD OF EDUCATION",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "26847",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "82630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Lynn Crites
• Tammy Crites
• Kayla Cullers
• Loren N Cunningham, PAC
• Jennifer Dailey
• Brooklyn Jane Davey
• David E. Harman M.a. , D.D.S. , Inc.
• Michelle Davy
• Brooklyn Louise Day
• Beth Ann Dayton

• Registered Nurse in Petersburg, WV
• Providers in Petersburg, WV by specialty
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.