Active NPI
Cheyenne Buzzard, RN
- Registered Nurse
- Charleston, WV
National Provider Identifier
1992638662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 125387
- Practice address
- 400 Tracy Way Ste 100
Charleston, WV 25311-1280 - Phone
- (304) 720-0205
- NPI assigned
- Jun 4, 2026
- Last updated
- Jun 4, 2026
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 125387 | WV | Primary |
Addresses
Primary practice location
400 Tracy Way Ste 100
Charleston, WV 25311-1280
Mailing address
814 Crest Dr
Charleston, WV 25311-1102
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125387 | WV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care at Home of West Virginia, LLC | Past | Accepting new patients | |
| Mountaineer Homecare, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Primary Care at Home of Charleston
- Nurse Practitioner
- Charleston, WV
- NPI 1386163392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1992638662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 CREST DR",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TRACY WAY STE 100",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111280",
"telephone_number": "304-720-0205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZZARD",
"first_name": "CHEYENNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "125387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.