Individual provider Active NPI

Lindsey Ciera Davis, FNP

  • Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1821646019
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
104640 Issued in WV
Practice address
1 Kenton Dr
Charleston, WV 25311-1256
Phone
(304) 513-3495
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 93385 WV
Nurse Practitioner 363L00000X 104640 WV Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 104640 WV

Addresses

Primary practice location

1 Kenton Dr
Charleston, WV 25311-1256

Mailing address

4764 Steele Ridge Rd
Red House, WV 25168-7700
Phone (304) 206-6760

Other practice location 1

4764 Steele Ridge Rd
Red House, WV 25168-7700
Phone (304) 206-6760

Other names 1

  • Ms. Lindsey Ciera Goff Former name

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
I20191113002971 WV Practitioner - Nurse Practitioner 2163854118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grandw IncGroup PAC ID 9739324922, 93 clinicians

Practice addresses (Care Compare)

1 Kenton Dr
Suite 200
Charleston, WV 25311-1256
Phone (304) 460-5123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93385WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GR&W, Inc CurrentSince Aug 5, 2024 Accepting new patients
GR&W, Inc PastSince Aug 5, 2024 Accepting new patients
Appalachian Wellness Collective Nurse Practitioner Past Accepting new patients

Locations

1 Kenton Dr
Charleston, WV 25311
Phone (304) 205-9008

1 Kenton Dr
Ste 0
Charleston, WV 25311

1 Kenton Dr
#200
Charleston, WV 25311
Phone (304) 408-3292

1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414

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": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1821646019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4764 STEELE RIDGE RD",
            "city": "RED HOUSE",
            "state": "WV",
            "postal_code": "251687700",
            "telephone_number": "304-206-6760",
            "fax_number": "304-876-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENTON DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111256",
            "telephone_number": "304-513-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4764 Steele Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Red House",
            "state": "WV",
            "postal_code": "251687700",
            "country_code": "US",
            "telephone_number": "304-206-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDSEY",
        "middle_name": "CIERA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "93385",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "104640",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "104640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "GOFF",
            "middle_name": "CIERA",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.