ATHENA HEALTH CENTER, LLC (NPI# 1578677415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578677415 |
| Entity Type | Organization |
| Organization Name | ATHENA HEALTH CENTER, LLC |
| Practice Address |
1601 Grand Central Ave Vienna WV 26105-1082 |
| Practice Telephone | 3044225600 |
| Practice Fax Number | 3044225993 |
| Mailing Telephone | 3044225600 |
| Mailing Fax Number | 3044225993 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | JODI L. LAW (OWNER) |
| Authorized Official Telephone | 3044225600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1578677415 | 05 |
| Street Address |
1601 GRAND CENTRAL AVE |
| City | VIENNA |
| State | WV |
| Zip Code | 26105-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710255195 | Fabbri Enterprises | In Home Supportive Care | 1601 Grand Central Ave, Suite 10, Vienna, WV 26105-1082 | 2011-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| Find all providers in zip 26105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099642 | Lindsey Ruth Gustafson | Nurse Practitioner | 2054 Meadow Springs Dr, Vienna, VA 22182-3771 | 2020-09-25 |
| 1013525310 | Sandra St Louis Thompson | Nurse Practitioner | 3946 King Graves Rd, Vienna, OH 44473 | 2020-07-22 |
| 1750857496 | Kirsten Martin Goetz | Nurse Practitioner | 8357 Leesburg Pike, Vienna, VA 22182-2493 | 2018-10-21 |
| 1124572433 | Katherine Chalkley Frederick | Nurse Practitioner | 243 Church St Nw Ste 100c, Vienna, VA 22180-4434 | 2016-08-04 |
| 1780972034 | Patricia Crawford | Nurse Practitioner | 100 East Street Se, 301, Vienna, VA 22180-4800 | 2011-07-20 |
| 1144513037 | Dana Yousef | Nurse Practitioner | 303 Maple Ave W Ste C, Vienna, VA 22180-4312 | 2011-05-25 |
| 1700112596 | Anissa M Ben Aida | Nurse Practitioner | 370 Maple Ave W, Suite V, Vienna, VA 22180-5615 | 2009-10-29 |
| 1659554814 | Joy F Fellman | Nurse Practitioner | 337 Maple Avenue E, Cvs - Minute Clinic, Vienna, VA 22180 | 2007-12-11 |
| 1043371537 | Sharl Ann Trussell | Nurse Practitioner | 1212 E Union St, Vienna, GA 31092-7545 | 2006-12-12 |
| 1972687051 | Dena C Taylor | Nurse Practitioner | 803 N 1st St, Vienna, IL 62995-1544 | 2006-10-25 |
| Find all providers in VIENNA | ||||
Please comment or provide details below to improve the information on ATHENA HEALTH CENTER, LLC.
| 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.