Active NPI
De'Shawna Hatcher
- Peer Specialist
- Parkersburg, WV
National Provider Identifier
1942018650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 24-918
- Practice address
- 1824 Murdoch Ave BLDG C
Parkersburg, WV 26101-3230 - Phone
- (304) 885-7152
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 24-918 | WV | Primary |
Addresses
Primary practice location
1824 Murdoch Ave BLDG C
Parkersburg, WV 26101-3230
Mailing address
1824 Murdoch Ave BLDG C
Parkersburg, WV 26101-3230
Phone (304) 885-7152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-918 | WV | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1942018650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 MURDOCH AVE BLDG C",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013230",
"telephone_number": "304-885-7152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 MURDOCH AVE BLDG C",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013230",
"telephone_number": "304-885-7152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHER",
"first_name": "DE'SHAWNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WV",
"license": "24-918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.