NPIMap

Individual provider Active NPI

Tabitha D. Waugh, APRN-CNP

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1912423740
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN72242NP Issued in WV
Practice address
830 Pennsylvania Ave Ste 201
Charleston, WV 25302
Phone
(304) 388-6950
Fax
(304) 388-6955
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 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 APRN72242NP WV Primary

Addresses

Primary practice location

830 Pennsylvania Ave Ste 201
Charleston, WV 25302

Mailing address

830 Pennsylvania Ave Ste 201
Charleston, WV 25302-3389
Phone (304) 388-6950

Other practice location 1

940 4th Ave Ste 600
Huntington, WV 25701-0065
Phone (304) 529-7004

Other practice location 2

415 Morris St Ste 300
Charleston, WV 25301-1853
Phone (304) 388-6441

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
I20180523003121 WV Practitioner - Nurse Practitioner 3375808264 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

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

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN72242NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Jan 1, 2019 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
THS Physician Partners Inc Family CurrentSince Jun 18, 2024 Accepting new patients

Locations

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

415 Morris St
Ste 300
Charleston, WV 25301
Phone (304) 345-6303

830 Pennsylvania Ave
Ste 201
Charleston, WV 25302
Phone (304) 388-6950

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

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

Organizations & group practices 3

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 11

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1912423740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE STE 201",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023389",
            "telephone_number": "304-388-6950",
            "fax_number": "304-388-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE STE 201",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25302",
            "telephone_number": "304-388-6950",
            "fax_number": "304-388-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 4th Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257010065",
            "country_code": "US",
            "telephone_number": "304-529-7004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Morris St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011853",
            "country_code": "US",
            "telephone_number": "304-388-6441",
            "fax_number": "304-388-6445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "TABITHA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN72242NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.