KATHY BURGE (NPI# 1114013588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114013588 |
| Entity Type | Individual |
| Full Name | KATHY BURGE |
| Credential | FNP |
| Practice Address |
500 Cherry St Bluefield WV 24701-3306 |
| Mailing Address |
640 Albemarle St Bluefield WV 24701-4606 |
| Practice Telephone | 3043251974 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
54921 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0001209000 | 05 | |
| VA | 007782462 | 05 |
| Street Address |
500 CHERRY ST |
| City | BLUEFIELD |
| State | WV |
| Zip Code | 24701-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022462 | Stephen Patrick Poolos | Pathology | 500 Cherry St, Bluefield, WV 24701-3306 | 2005-06-01 |
| 1942826250 | Angela Louise Collins | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-06-23 |
| 1417577081 | Miranda Cox | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-04-23 |
| 1346869575 | Maryam Bayat Mokhtari | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-04-08 |
| 1891350179 | Bluefield Hospital Company LLC | Medicare Defined Swing Bed Unit | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-05-02 |
| 1013473438 | Bridget Chinelo Nduka | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-02-11 |
| 1750850319 | Integrated Wv LLC | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1134698798 | Icp West Virginia LLC | Emergency Medicine | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1801361399 | Jessica A Compton | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-10-10 |
| 1518451962 | Shariful Alam | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
| 1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
| 1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
| 1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
| Find all providers in zip 24701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149407 | Wendy Kaye Lawless | Nurse Practitioner | 1424 Montclair St, Bluefield, WV 24701-3824 | 2020-03-17 |
| 1396128112 | Samantha Dawn Nunley | Nurse Practitioner | 3016 E Cumberland Rd, Bluefield, WV 24701-4858 | 2015-06-30 |
| 1518359777 | Deborah Parsons | Nurse Practitioner | 713 Mountain Ln, Bluefield, VA 24605-9671 | 2015-02-25 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1043437569 | Sherri Lynn Williams | Nurse Practitioner | Rr 2 Box 378, Bluefield, WV 24701-9644 | 2007-04-18 |
| 1689282295 | Jordan Lindsey Miller | Nurse Practitioner | 231 Medical Park Dr Ste 300, Bluefield, VA 24605-1531 | 2020-07-20 |
| 1942826250 | Angela Louise Collins | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-06-23 |
| 1851863096 | Julie Devor Orr | Nurse Practitioner | 105 Westwood Cmn, Bluefield, VA 24605-2031 | 2018-12-28 |
| 1801361399 | Jessica A Compton | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-10-10 |
| 1548748486 | Whitney Illene Fullen | Nurse Practitioner | 105 Westwood Cmn, Bluefield, VA 24605-2031 | 2018-08-02 |
| Find all providers in BLUEFIELD | ||||
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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.