Individual provider Active NPI

Amber Jean Coll

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1942939004
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113675 Issued in WV
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

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110000581 WV Practitioner - Nurse Practitioner 6608250113 Reassigns benefits to 2 organizations

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
Consonant Healing Associates of de LLCGroup PAC ID 2466871694, 81 clinicians

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

LicenseStateTypeSpecialty
76893WVMDRegistered Nurse
113675WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CNP Operating Co LLC CurrentSince Jan 1, 2023 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Jul 8, 2024 Accepting new patients
Healing Partners Plus PLLC CurrentSince Sep 1, 2025 Accepting new patients
Consonant Healing Medical Associates PastSince Jul 8, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.