TINA L WAUGH (NPI# 1639693468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639693468 |
| Entity Type | Individual |
| Full Name | TINA L WAUGH |
| Credential | APRN |
| Practice Address |
783 Winchester St Paw Paw WV 25434 |
| Mailing Address |
Po Box 2 Paw Paw WV 25434-0002 |
| Practice Telephone | 3049475500 |
| Practice Fax Number | 3049475563 |
| Mailing Telephone | 3049475500 |
| Mailing Fax Number | 3049475563 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN94035-NP-C | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510382 | Tina Waugh | Family Medicine | 38r Enon St, Beverly, MA 01915-1166 | 2005-10-03 |
| Street Address |
783 WINCHESTER ST |
| City | PAW PAW |
| State | WV |
| Zip Code | 25434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033299862 | Mountaineer Community Health Center, Inc. | Clinic/Center | 783 Winchester St, Paw Paw, WV 25434-0002 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594692 | Katherine Elaine Turner | Technician | 233 Amelia St, Paw Paw, WV 25434 | 2020-09-25 |
| 1811503857 | Allison Athey | Technician | 13 Bevans Ln, Paw Paw, WV 25434 | 2020-09-16 |
| 1669084653 | Jennifer Ellen Moreland | Technician | 94 Moreland Crt, Paw Paw, WV 25434 | 2020-08-20 |
| 1891306403 | Lisa Ann Groah | Technician | 13 Potomac St, Paw Paw, WV 25434 | 2020-08-17 |
| 1407468036 | Cynthia N Shirley | Technician | 533 Shirley Ln, Paw Paw, WV 25434 | 2020-08-17 |
| 1356952386 | Beverly Sue Kerns | Technician | 11 Dr Randolph Spencer Ln, Paw Paw, WV 25434 | 2020-08-13 |
| 1255703443 | Sencara Home Health Care | Home Health | 109 Clay Street, Suffolk, VA 25434 | 2015-10-27 |
| 1235138710 | Paw Paw Volunteer Fire Company | Ambulance | 44 Moser Avenue, Paw Paw, WV 25434 | 2005-07-18 |
| 1457469900 | Thomas Jerome Devlin | Family Medicine | 783 Winchester Street, Paw Paw, WV 25434-0002 | 2006-08-25 |
| 1669814950 | Chad Taylor Hott | Nurse Practitioner | 783 Winchester Street, Paw Paw, WV 25434-0002 | 2013-07-27 |
| Find all providers in zip 25434 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558644674 | Jamie Lynn Chiles | Nurse Practitioner | 451 Health Pkwy, Suite F, Paw Paw, MI 49079-8242 | 2011-09-25 |
| 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 |
| 1083250963 | Tanya Ann Maddy | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-11-26 |
| 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.