Individual provider Active NPI

Kala Leigh Puterbaugh, APRN, FNP-BC

  • Family Nurse Practitioner
  • Nitro, WV
National Provider Identifier
1881079663
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN80892-FNP-BC Issued in WV
Practice address
6A Bank St
Nitro, WV 25143-1708
Phone
(304) 306-3058
Fax
(304) 306-3059
NPI assigned
Jul 22, 2015
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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 APRN80892-FNP-BC WV Primary

Addresses

Primary practice location

6A Bank St
Nitro, WV 25143-1708

Mailing address

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Other practice location 1

11924 Winfield Rd
Winfield, WV 25213-7913
Phone (304) 767-7995

Other practice location 2

333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6773

Other practice location 3

4605 MacCorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 306-3053

Other names 1

  • Kala Leigh Withrow Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kala.withrow@thomashealthsystem.direct-ci.com
Direct Messaging Address kala.withrow@thomashealthsystem.direct-ci.com
Direct Messaging Address kala.withrow@thomashealthsystem.direct-ci.com

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
I20151110000592 WV Practitioner - Nurse Practitioner 3274843982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

6 A Bank St
Nitro, WV 25143-1708
Phone (304) 306-3058

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN80892-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
THS Physician Partners Inc Family CurrentSince Sep 1, 2015 Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116

6A Bank St
Nitro, WV 25143
Phone (304) 306-3058

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4605 Maccorkle Ave SW
Ofc
South Charleston, WV 25309
Phone (304) 414-4800

11924 Winfield Rd
Winfield, WV 25213
Phone (304) 306-3060

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1881079663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-414-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6A BANK ST",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431708",
            "telephone_number": "304-306-3058",
            "fax_number": "304-306-3059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11924 Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "WV",
            "postal_code": "252137913",
            "country_code": "US",
            "telephone_number": "304-767-7995",
            "fax_number": "304-767-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Laidley St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011614",
            "country_code": "US",
            "telephone_number": "304-347-6773",
            "fax_number": "304-347-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 MacCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091311",
            "country_code": "US",
            "telephone_number": "304-306-3053",
            "fax_number": "304-306-3054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTERBAUGH",
        "first_name": "KALA",
        "middle_name": "LEIGH",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN80892-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kala.withrow@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "11924 Winfield Rd",
            "city": "Winfield",
            "state": "WV",
            "country_code": "US",
            "postal_code": "252137913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kala.withrow@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "6A Bank St",
            "city": "Nitro",
            "state": "WV",
            "country_code": "US",
            "postal_code": "251431708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kala.withrow@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "333 Laidley St",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KALA",
            "last_name": "WITHROW",
            "middle_name": "LEIGH",
            "credential": "APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nitro, WV

Sources for this page

Verify at the official NPI Registry.