TANYA ANN MADDY (NPI# 1083250963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083250963 |
| Entity Type | Individual |
| Full Name | TANYA ANN MADDY |
| Credential | NP-C |
| Practice Address |
1710 Harper Rd Beckley WV 25801-3397 |
| Mailing Address |
425 Highland Ave Oak Hill WV 25901-3439 |
| Practice Telephone | 3042564100 |
| Mailing Telephone | 3047312860 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
105016 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | AANP | AG11190009 | 01 |
| Street Address |
1710 HARPER RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316487 | Shewana C Workman | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2005-09-13 |
| 1396351151 | Jenny Lynn Williams | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3397 | 2020-09-17 |
| 1588288948 | Brooklyn Paige Dillon | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2020-06-02 |
| 1922621572 | Erika Anne Ellis | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2020-05-18 |
| 1154969921 | Theodore Dhinagaran | Physical Therapist | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-12-12 |
| 1922667781 | Kimberly Marie Vance | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-06-06 |
| 1487213245 | Cierra Brooke Treadway | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2019-06-06 |
| 1164987582 | Eric Andrew Fleck | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2019-02-11 |
| 1164987574 | Mohammed Jaweed | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3357 | 2019-02-10 |
| 1124597000 | Mary Mbachu | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2018-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664143 | Mousumi Pinki | Nurse Practitioner | 353 Villa View Dr, Morgantown, WV 26505-2092 | 2020-09-17 |
| 1881209971 | Amber Nicole Smarr | Nurse Practitioner | 764 Harness Road, Fenwick, WV 26202 | 2020-09-15 |
| 1114547130 | Karen Beth Hill | Nurse Practitioner | 130 Brighton Cir, Princeton, WV 24739-9153 | 2020-04-20 |
| 1700416013 | Charles Brian Young | Nurse Practitioner | 350 Cheswick Dr, Martinsburg, WV 25403-7526 | 2020-01-26 |
| 1760036479 | Jessica Lynn Franke | Nurse Practitioner | 242 Kruger St, Wheeling, WV 26003-5166 | 2019-07-31 |
| 1093251076 | Jessica Ann Smith | Nurse Practitioner | 107 Staunton Dr # 9, Weston, WV 26452-5604 | 2017-01-13 |
| 1659979011 | Jerica Elaine Bobo | Nurse Practitioner | 22347 Northwestern Pike, Romney, WV 26757-6343 | 2020-10-16 |
| 1407460918 | Jordan Nicole Kesler | Nurse Practitioner | 527 Medical Park Dr Ste 501, Bridgeport, WV 26330-9010 | 2020-09-02 |
| 1568072106 | Kelli Marie Morrow | Nurse Practitioner | 61 Campus Dr, Martinsburg, WV 25404-7542 | 2020-08-07 |
| 1477114221 | Caitlin Johnson | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.