Active NPI
Kayla Valentine, FNP-BC
- Family Nurse Practitioner
- Elizabeth, WV
National Provider Identifier
1871060764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2022007163
- Practice address
- 483 Court St
Elizabeth, WV 26143-1109 - Phone
- (304) 424-4574
- NPI assigned
- Oct 29, 2018
- Sex
- Female
- Sole proprietor
- No
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 Nurse Practitioner | 363LF0000X | APRN75606-NP-C | WV | |
| Family Nurse Practitioner | 363LF0000X | 2022007163 | MO | Primary |
Addresses
Primary practice location
483 Court St
Elizabeth, WV 26143-1109
Mailing address
520 E Greenwood St
Springfield, MO 65807-3639
Other practice location 1
122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 424-4574
Other practice location 2
600 18th St Ste 512
Parkersburg, WV 26101-3236
Phone (304) 424-4574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420107682 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.52 of 100
- Quality
- 61.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022007163 | MO | MD | Family Nurse Practitioner |
| APRN75606-NP-C | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Camden Clark Medical Center
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1871060764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E GREENWOOD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658073639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 COURT ST",
"city": "ELIZABETH",
"state": "WV",
"postal_code": "261431109",
"telephone_number": "304-424-4574"
}
],
"practiceLocations": [
{
"address_1": "122 Pinnell St",
"address_purpose": "LOCATION",
"city": "Ripley",
"state": "WV",
"postal_code": "252719101",
"country_code": "US",
"telephone_number": "304-424-4574",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 18th St Ste 512",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261013236",
"country_code": "US",
"telephone_number": "304-424-4574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALENTINE",
"first_name": "KAYLA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-29",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "APRN75606-NP-C",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2022007163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420107682",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.