Individual provider Active NPI

Rachelle Lyle Stewart, PA-C

  • Medical Physician Assistant
  • Hinton, WV
National Provider Identifier
1891197323
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
01842 Issued in WV
Practice address
1500 Terrace St Ste 105
Hinton, WV 25951-9768
Phone
(304) 466-2933
NPI assigned
Sep 16, 2014
Last updated
Sep 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 01842 WV Primary

Addresses

Primary practice location

1500 Terrace St Ste 105
Hinton, WV 25951-9768

Mailing address

142 Peters Court
Cool Ridge, WV 25825
Phone (304) 923-4409

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
I20150921000957 WV Practitioner - Physician Assistant 9638486889 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01842WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Associates, Inc CurrentSince Sep 3, 2019 Accepting new patients
Family Healthcare Associates Inc Current Accepting new patients
Family Healthcare Associates Inc Current Accepting new patients
Appalachia Pathology Consultants LLC Current Accepting new patients
Family Healthcare Associates Inc Current Accepting new patients
Logan General Hospital LLC CurrentSince Jun 5, 2017 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

114 Main St
Man, WV 25635
Phone (304) 583-0019

205 Howard Ave
Mullens, WV 25882
Phone (304) 294-4880

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1891197323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PETERS COURT",
            "city": "COOL RIDGE",
            "state": "WV",
            "postal_code": "25825",
            "telephone_number": "304-923-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TERRACE ST STE 105",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259519768",
            "telephone_number": "304-466-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RACHELLE",
        "middle_name": "LYLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinton, WV

Sources for this page

Verify at the official NPI Registry.