PRIMARY CARE AT HOME OF CHARLESTON – NPI #1386163392
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Health Care Provider Taxonomy Code for Nurse Practitioner

PRIMARY CARE AT HOME OF CHARLESTON is a nurse practitioner located in CHARLESTON, WV. NPPES has assigned the NPI number 1386163392 to PRIMARY CARE AT HOME OF CHARLESTON on September 12, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRIMARY CARE AT HOME OF CHARLESTON” is a dba name, the actual legal business name for this organization is PRIMARY CARE AT HOME OF WEST VIRGINIA, LLC. The primary taxonomy selected by this provider is 363L00000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMARY CARE AT HOME OF CHARLESTON below.

NPI Profile for
PRIMARY CARE AT HOME OF WEST VIRGINIA, LLC

NPI Number
1386163392
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIMARY CARE AT HOME OF WEST VIRGINIA, LLC
Doing Business As (dba): PRIMARY CARE AT HOME OF CHARLESTON
Primary location
414 GREENWAY AVE STE 201
CHARLESTON, WV 25309-1475
Phone: (304) 356-1356 Fax: (304) 885-7475
Mailing address
PO BOX 51266
LAFAYETTE, LA 70505-1266
Phone: (337) 233-1307 Fax: (337) 233-5764
Organization Subpart
No
Authorized Official
DONALD STELLY
PRESIDENT
Phone: (337) 233-1307
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363L00000X
- Nurse Practitioner (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.