Active NPI
Natalie Alt, FNP-BC
- Family Nurse Practitioner
- Moorefield, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 113684
- Practice address
- 112 Kuykendall LN
Moorefield, WV 26836-1167 - Phone
- (304) 530-7755
- Fax
- (304) 530-7756
- NPI assigned
- Aug 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 113864 | WV | |
| Family Nurse Practitioner | 363LF0000X | 113684 | WV | Primary |
Addresses
Primary practice location
112 Kuykendall LN
Moorefield, WV 26836-1167
Mailing address
112 Kuykendall LN
Moorefield, WV 26836-1167
Phone (304) 530-7755
Other practice location 1
17978 Sr 55
Baker, WV 26801
Phone (304) 897-5915
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710000592 | WV | Practitioner - Nurse Practitioner | 0547705931 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113684 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E. a. Hawse Health Center, Inc. | Current | Accepting new patients | |
| E.a. Hawse Health Center Inc | Family Medicine | Current | Accepting new patients |
| E.a. Hawse Health Center Inc. | Family Medicine | Past | Accepting new patients |
Locations
17978 State Road 55
Baker, WV 26801
Phone (304) 897-8220
112 Kuykendall Ln
Moorefield, WV 26836
Phone (304) 530-7755
422 S Main St
Moorefield, WV 26836
Phone (304) 538-2331
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Baker, WV
- NPI 1851359251
Family Medicine, WV
-
- Community Health Clinic/Center
- Moorefield, WV
- NPI 1417437591
-
- Federally Qualified Health Center (FQHC)
- Mathias, WV
- NPI 1225096027
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1811624901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 KUYKENDALL LN",
"city": "MOOREFIELD",
"state": "WV",
"postal_code": "268361167",
"telephone_number": "304-530-7755",
"fax_number": "304-530-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 KUYKENDALL LN",
"city": "MOOREFIELD",
"state": "WV",
"postal_code": "268361167",
"telephone_number": "304-530-7755",
"fax_number": "304-530-7756"
}
],
"practiceLocations": [
{
"address_1": "17978 SR 55",
"address_purpose": "LOCATION",
"city": "BAKER",
"state": "WV",
"postal_code": "26801",
"country_code": "US",
"telephone_number": "304-897-5915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALT",
"first_name": "NATALIE",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "113864",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "113684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.