Individual provider Active NPI

Natalie Alt, FNP-BC

  • Family Nurse Practitioner
  • Moorefield, WV
National Provider Identifier
1811624901
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113684 Issued in WV
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

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710000592 WV Practitioner - Nurse Practitioner 0547705931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113684WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E. a. Hawse Health Center, Inc. CurrentSince Jan 2, 2024 Accepting new patients
E.a. Hawse Health Center Inc Family Medicine CurrentSince Jan 2, 2024 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.

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

Verify at the official NPI Registry.