Individual provider Active NPI

Nikki Helton

  • Family Nurse Practitioner
  • Clintwood, VA
National Provider Identifier
1821553371
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177268 Issued in VA
Practice address
5607 Dickenson Hwy
Clintwood, VA 24228-7009
Phone
(276) 926-4601
Fax
(276) 926-4602
NPI assigned
Feb 8, 2019
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024177268 VA Primary

Addresses

Primary practice location

5607 Dickenson Hwy
Clintwood, VA 24228-7009

Mailing address

5607 Dickenson Hwy
Clintwood, VA 24228-7009
Phone (276) 926-4601

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CLINTWOOD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190830000643 TN Practitioner - Nurse Practitioner 6901134873 Reassigns benefits to 1 organization
I20210219000271 VA Practitioner - Nurse Practitioner 6901134873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Family CurrentSince May 5, 2019 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince May 5, 2019 Accepting new patients
St. Charles Health Council, Inc Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

410 N State of Franklin Rd
Ste 135B
Johnson City, TN 37604
Phone (423) 431-2477

Organizations & group practices 4

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1821553371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 DICKENSON HWY",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242287009",
            "telephone_number": "276-926-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 DICKENSON HWY",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242287009",
            "telephone_number": "276-926-4601",
            "fax_number": "276-926-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTON",
        "first_name": "NIKKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CLINTWOOD",
            "affiliation": "N",
            "address_1": "5607 Dickenson Hwy",
            "city": "Clintwood",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242287009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clintwood, VA

Sources for this page

Verify at the official NPI Registry.