Individual provider Active NPI

Deanna Blair, CNM

  • Advanced Practice Midwife
  • Charleston, WV
National Provider Identifier
1942678198
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN52285-MIDWIFE Issued in WV
Practice address
108 Washington St W
Charleston, WV 25302-2344
Phone
(304) 345-4525
Fax
(304) 345-4527
NPI assigned
Sep 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN52285-MIDWIFE WV Primary

Addresses

Primary practice location

108 Washington St W
Charleston, WV 25302-2344

Mailing address

108 Washington St W
Charleston, WV 25302-2344
Phone (304) 345-4525

Other names 1

  • Deanna Farmer Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720001806 WV Practitioner - Certified Nurse Midwife (CNM) 9234422809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David J. Patton, MD., Inc.Group PAC ID 3577620277, 8 clinicians

Practice addresses (Care Compare)

108 Washington St W
Charleston, WV 25302-2344
Phone (304) 345-4525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN52285-MIDWIFEWVMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Patton, MD., Inc. CurrentSince Jun 1, 2016 Accepting new patients

Locations

100 N Heights Dr
Beckley, WV 25801
Phone (304) 253-3372

108 Washington St W
Ste 101
Charleston, WV 25302
Phone (304) 345-4525

108 Washington St W
Charleston, WV 25302
Phone (304) 345-4525

1003 Oakhurst Dr
Charleston, WV 25314
Phone (304) 345-4525

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.

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1942678198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WASHINGTON ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022344",
            "telephone_number": "304-345-4525",
            "fax_number": "304-345-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WASHINGTON ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022344",
            "telephone_number": "304-345-4525",
            "fax_number": "304-345-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "DEANNA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WV",
            "license": "APRN52285-MIDWIFE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "FARMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.