Individual provider Active NPI

Kayla Valentine, FNP-BC

  • Family Nurse Practitioner
  • Elizabeth, WV
National Provider Identifier
1871060764
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022007163 Issued in MO
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

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
420107682MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022007163MOMDFamily Nurse Practitioner
APRN75606-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.