Active NPI
Amber Jean Coll
- Family Nurse Practitioner
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 113675
- Practice address
- The Geary Plaza
700 Washington Street
Charleston, WV 25301 - Phone
- (763) 340-7349
- NPI assigned
- Jun 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 76893 | WV | |
| Family Nurse Practitioner | 363LF0000X | 113675 | WV | Primary |
Addresses
Primary practice location
The Geary Plaza
700 Washington Street
Charleston, WV 25301
Mailing address
509 46TH St SE
Charleston, WV 25304-1815
Phone (304) 552-8649
Other names 1
- Amber Cavender
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1263 S George St
A
Charles Town, WV 25414-4384
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76893 | WV | MD | Registered Nurse |
| 113675 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNP Operating Co LLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Past | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280
1263 S George St
#A
Charles Town, WV 25414
1263 S George St
Ste A
Charles Town, WV 25414
1263 S George St
Charles Town, WV 25414
Phone (240) 420-2666
2675 36th St
Parkersburg, WV 26104
Phone (304) 422-8112
2600 Middletown Cmns
Fl 1
White Hall, WV 26554
Phone (844) 401-4663
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1063217545
-
- Surgery Physician
- Silver Spring, MD
- NPI 1588122535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1942939004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 46TH ST SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041815",
"telephone_number": "304-552-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE GEARY PLAZA",
"address_2": "700 WASHINGTON STREET",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25301",
"telephone_number": "763-340-7349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLL",
"first_name": "AMBER",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "76893",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "113675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "CAVENDER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.