NPIMap

Organization Active NPI

Independent Healthcare Providers Corp

Doing business as Healthcare Travelers

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1972784262
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INDEPENDENT HEALTHCARE PROVIDERS CORP
Doing business as
Healthcare Travelers
PsychSolutions4WV
Practice address
661 Lick Branch Rd
Charleston, WV 25312-6761
Phone
(304) 208-0707
Fax
(800) 758-9795
NPI assigned
Nov 15, 2007
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Loretta Ann Bostic, DNP, APRNNPI 1629068705
Title
President
Phone
(304) 208-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

661 Lick Branch Rd
Charleston, WV 25312-6761

Mailing address

110 Association Dr
Charleston, WV 25311-1217
Phone (304) 825-8565

Other practice location 1

100 Association Dr
Charleston, WV 25311-1217
Phone (304) 208-0707

Other names 2

  • Healthcare Travelers Doing business as
  • PsychSolutions4WV Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040901001562 WV Part B Supplier - Clinic/Group Practice 9931174893 Receives reassigned benefits from 3 practitioners
Practice locations: Charleston, WV

National Provider Directory

National Provider Directory

Locations

119 Main St
Ste A
Beckley, WV 25801
Phone (304) 465-0544

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1972784262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ASSOCIATION DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111217",
            "telephone_number": "304-825-8565",
            "fax_number": "304-825-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 LICK BRANCH RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253126761",
            "telephone_number": "304-208-0707",
            "fax_number": "800-758-9795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Association Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253111217",
            "country_code": "US",
            "telephone_number": "304-208-0707",
            "fax_number": "800-758-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDEPENDENT HEALTHCARE PROVIDERS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2024-03-01",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-208-0707",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare Travelers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PsychSolutions4WV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.