Active NPI
Katie Sue Hunt, FNP-BC
- Family Nurse Practitioner
- Clendenin, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 105113
- Practice address
- 107 Koontz Ave
Clendenin, WV 25045-9578 - Phone
- (304) 548-7272
- Fax
- (304) 548-7149
- NPI assigned
- Dec 17, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 105113 | WV | Primary |
Addresses
Primary practice location
107 Koontz Ave
Clendenin, WV 25045-9578
Mailing address
104 Alex LN
Charleston, WV 25304-2952
Phone (304) 734-2040
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katie.hunt@camc.org | Direct |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200304000164 | WV | Practitioner - Nurse Practitioner | 1850728817 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Warrior Way
Suite 103
Belle, WV 25015-1356
Phone (304) 949-3591
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabin Creek Health Center, Inc. | Current | Accepting new patients | |
| Cabin Creek Health Center, Inc. | Current | Accepting new patients | |
| Cabin Creek Health Center, Inc. | Current | Accepting new patients | |
| Clendenin Health Center Pharmacy at Riverview | Past | Accepting new patients |
Locations
1 Warrior Way
Ste 103
Belle, WV 25015
Phone (304) 949-3591
104 Alex Ln
Charleston, WV 25304
Phone 30473420401319
4602 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 205-7535
6135 Sissonville Dr
Charleston, WV 25312
Phone (304) 984-1576
107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272
Interoperability endpoints
- katie.hunt.1@7267.direct.athenahealth.com
- https://api.platform.athenahealth.com/7267/brand/1/csg/1/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.
-
- Federally Qualified Health Center (FQHC)
- Dawes, WV
- NPI 1366495525
WV
-
- Community Health Clinic/Center
- Charleston, WV
- NPI 1063932929
-
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1194596759
-
- Community/Retail Pharmacy
- Clendenin, WV
- NPI 1285928804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1962040261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ALEX LN",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042952",
"telephone_number": "304-734-2040",
"fax_number": "304-734-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 KOONTZ AVE",
"city": "CLENDENIN",
"state": "WV",
"postal_code": "250459578",
"telephone_number": "304-548-7272",
"fax_number": "304-548-7149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "KATIE",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "105113",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "katie.hunt@camc.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3200 MacCorkle Ave SE",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253041297",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clendenin, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.