Carrie Lynn Jeffries, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024171115 Issued in VA

Practice address

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816

Phone

(304) 757-6999

NPI assigned

Oct 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

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.

• Women Care Inc

  dba FamilyCare Health Center

  • Federally Qualified Health Center (FQHC)
  • Scott Depot, WV
  • NPI 1194759290
  Medicare reassignment NPD
• Womencare Inc

  dba FamilyCare Health Center

  • Federally Qualified Health Center (FQHC)
  • Cross Lanes, WV
  • NPI 1396237434
  Medicare reassignment NPD
• Womencare Inc

  dba FamilyCare HealthCenter

  • Federally Qualified Health Center (FQHC)
  • Barboursville, WV
  • NPI 1447618327
  Medicare reassignment NPD
• Womencare Inc

  dba Familycare Health Centers

  • Federally Qualified Health Center (FQHC)
  • Marmet, WV
  • NPI 1730671751
  Medicare reassignment NPD
• Womencare Inc

  dba FamilyCare Health Center - Hurricane

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1962045948
  Medicare reassignment NPD
• Womencare, Inc

  dba Familycare Health Centers

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1174106124
  Medicare reassignment NPD
• Womencare, Inc

  • Federally Qualified Health Center (FQHC)
  • Madison, WV
  • NPI 1740450089
  Medicare reassignment NPD
• Womencare Inc

  dba FamilyCare HealthCenter

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1457008385
  NPD
• Womencare Inc

  dba FamilyCare

  • Federally Qualified Health Center (FQHC)
  • Winfield, WV
  • NPI 1477834216
  NPD
• Womencare Inc

  dba Familycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Dunbar, WV
  • NPI 1578073706
  NPD
• Womencare Inc

  dba FamilyCare

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1770745036
  NPD
• Womencare Inc

  dba FamilyCare

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1790276525
  NPD

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1841441771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LAURA DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD STE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609816",
            "telephone_number": "304-757-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 E Glebe Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223052938",
            "country_code": "US",
            "telephone_number": "703-535-5568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171115",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R 130161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lanay Hunter, MS
• Joanna Hutchison
• Marci Joanne Ingram
• Samuel Ingram
• James a Akins MD
• Mary Buffington Jenkins, MD
• Amanda A Johnson, PHARMD.
• Giorgi Lee Johnson, OTD, OTR/L
• Jason Daniel Jones, CASE MANAGER
• Thomas Jones

• Adult Health Nurse Practitioner in Scott Depot, WV
• Providers in Scott Depot, WV by specialty
• Adult Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.

Verify at the official NPI Registry.