NPIMap

Individual provider Active NPI

Tarrin Layne

  • Family Nurse Practitioner
  • South Charleston, WV
National Provider Identifier
1891339586
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
103721 Issued in WV
Practice address
4610 Kanawha Ave SW Ste 402
South Charleston, WV 25309-1367
Phone
(304) 400-4700
Fax
(304) 400-4635
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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 103721 WV Primary

Addresses

Primary practice location

4610 Kanawha Ave SW Ste 402
South Charleston, WV 25309-1367

Mailing address

830 Stonewall Rd
Beckley, WV 25801-8066
Phone (304) 578-9228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200115003234 WV Practitioner - Nurse Practitioner 5890120067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Nephrology Hypertension and Transplant PLLCGroup PAC ID 0042301814, 6 clinicians

Practice addresses (Care Compare)

122 Pinnell St
BLDG 6
Ripley, WV 25271-9101
Phone (304) 400-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103721WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Nephrology Hypertension and Transplant, PLLC CurrentSince Nov 8, 2019 Accepting new patients

Locations

122 Pinnell St
Bldg 6
Ripley, WV 25271
Phone (304) 400-4700

4610 Kanawha Ave SW
Ste 402
South Charleston, WV 25309
Phone (304) 400-4700

4825 Maccorkle Ave SW
Ste A
South Charleston, WV 25309
Phone (304) 400-4700

Interoperability endpoints

  • Direct secure messaging: tlayne24348@direct.acumenmd.com

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1891339586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 STONEWALL RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258018066",
            "telephone_number": "304-578-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 KANAWHA AVE SW STE 402",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091367",
            "telephone_number": "304-400-4700",
            "fax_number": "304-400-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "TARRIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "103721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.