Individual provider Active NPI

Courtney Christine Swisher, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Kingwood, WV
National Provider Identifier
1922624170
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106809 Issued in WV
Practice address
17548 Veterans Memorial Hwy
Kingwood, WV 26537-9797
Phone
(304) 441-2001
Fax
(304) 441-2009
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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 106809 WV Primary

Addresses

Primary practice location

17548 Veterans Memorial Hwy
Kingwood, WV 26537-9797

Mailing address

6222 George Washington Hwy
Tunnelton, WV 26444-9229
Phone (304) 212-8772

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
I20200818003141 WV Practitioner - Nurse Practitioner 8426474685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preston Health Care Services LLCGroup PAC ID 5698817104, 2 clinicians

Practice addresses (Care Compare)

17548 Veterans Memorial Hwy
Kingwood, WV 26537-9797
Phone (304) 441-2001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Health Care Services LLC CurrentSince Jul 21, 2020 Accepting new patients

Locations

17548 Veterans Memorial Hwy
Kingwood, WV 26537
Phone (304) 329-6979

17548 Veterans Memorial Hwy
Ste C
Kingwood, WV 26537

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 3

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1922624170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 GEORGE WASHINGTON HWY",
            "city": "TUNNELTON",
            "state": "WV",
            "postal_code": "264449229",
            "telephone_number": "304-212-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17548 VETERANS MEMORIAL HWY",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265379797",
            "telephone_number": "304-441-2001",
            "fax_number": "304-441-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "COURTNEY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

Verify at the official NPI Registry.