Individual provider Active NPI

Barbara Ann Pullen

  • Licensed Practical Nurse
  • Charleston, WV
National Provider Identifier
1962166025
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
35803 Issued in WV
Practice address
900 Virginia St E
Charleston, WV 25301-2835
Phone
(681) 313-4759
Fax
(844) 800-3954
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X
Licensed Practical Nurse 164W00000X 35803 WV Primary

Addresses

Primary practice location

900 Virginia St E
Charleston, WV 25301-2835

Mailing address

30 New Hope Rd
Rock Cave, WV 26234-9764
Phone (681) 433-6139

Other practice location 1

8 N Spring St
Buckhannon, WV 26201-2720
Phone (304) 472-0395

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL pullenbarbi1115@gmail.com Health Information Exchange (HIE)
CONNECT URL MaximCareMobile

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

LicenseStateTypeSpecialty
35803WVMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1962166025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEW HOPE RD",
            "city": "ROCK CAVE",
            "state": "WV",
            "postal_code": "262349764",
            "telephone_number": "681-433-6139",
            "fax_number": "304-471-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VIRGINIA ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012835",
            "telephone_number": "681-313-4759",
            "fax_number": "844-800-3954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 N Spring St",
            "address_purpose": "LOCATION",
            "city": "Buckhannon",
            "state": "WV",
            "postal_code": "262012720",
            "country_code": "US",
            "telephone_number": "304-472-0395",
            "fax_number": "304-471-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "35803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pullenbarbi1115@gmail.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8 N Spring St",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262012720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MaximCareMobile",
            "affiliation": "N",
            "address_1": "900 Virginia St E",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253012835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.