KRYSTAL DAWN TAWNEY (NPI# 1720343130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720343130 |
Entity Type | Individual |
Full Name | KRYSTAL DAWN TAWNEY |
Credential | FNP-BC |
Practice Address |
165 Scott Ave Suite 100 Morgantown WV 26508-8847 |
Mailing Address |
125 N 6th St Clarksburg WV 26301-2665 |
Practice Telephone | 3045540400 |
Practice Fax Number | 3045540404 |
Mailing Telephone | 3046247200 |
Mailing Fax Number | 3044235308 |
Enumeration Date | 2012-07-11 |
Last Update Date | 2013-07-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP012420 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
75957 | WV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810024409 | 05 | |
PA | 102780235 | 05 |
Street Address |
165 SCOTT AVE SUITE 100 |
City | MORGANTOWN |
State | WV |
Zip Code | 26508-8847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154306850 | William Thomas Corder | Allergy & Immunology | 165 Scott Ave, Suite 102, Morgantown, WV 26508-8847 | 2005-12-14 |
1861968257 | Sabrina Garzione | Counselor | 165 Scott Ave, Morgantown, WV 26508-8839 | 2018-10-23 |
1922592013 | Samantha Clarkson | Social Worker | 165 Scott Ave, Morgantown, WV 26508-8839 | 2018-06-21 |
1679077044 | Maxx Well Biddle | Counselor | 165 Scott Ave, Morgantown, WV 26508-8839 | 2018-03-21 |
1639698392 | Cynthia Louise Deskins | Social Worker | 165 Scott Ave, Morgantown, WV 26508-8839 | 2017-09-13 |
1265987366 | Denise Wagner | Counselor | 165 Scott Ave, Suite 208, Morgantown, WV 26508-8839 | 2016-08-18 |
1780139972 | Carmen Abreu | Social Worker | 165 Scott Ave, Morgantown, WV 26508-8839 | 2016-08-17 |
1518326081 | Jaime Leigh Baker | Counselor | 165 Scott Ave, Suite 208, Morgantown, WV 26508-8847 | 2016-02-12 |
1174894927 | Nicole Stolzenbach | Social Worker | 165 Scott Ave, Morgantown, WV 26508-8847 | 2012-01-24 |
1619267853 | Michelle Molisee | Counselor | 165 Scott Ave, Morgantown, WV 26508-8847 | 2011-04-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
Find all providers in zip 26508 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912520800 | Debra L Fox | Nurse Practitioner | 3420 Lazzelle Union Rd, Morgantown, WV 26501-2086 | 2020-05-26 |
1407489396 | Sonya Rouleau | Nurse Practitioner | 1005 Ann Marie Dr, Morgantown, WV 26508-9280 | 2020-02-19 |
1760038806 | Christy Stahl | Nurse Practitioner | 751 Benefactor Dr, Morgantown, WV 26501-1123 | 2019-08-14 |
1669974267 | Lindsay Brooke Arbogast | Nurse Practitioner | 1300 Fort Pierpont Dr # 101, Morgantown, WV 26508-1314 | 2018-02-28 |
1174022487 | Brianna Nicole Vikartosky | Nurse Practitioner | 3000 Mon Health Medical Park Dr Ste 3203, Morgantown, WV 26505-1135 | 2018-02-02 |
1760901334 | Melissa Dawn Dingey | Nurse Practitioner | 30 Mon Health Dr, Morgantown, WV 26505-2853 | 2017-09-15 |
1992223382 | Erica Kuhnlein | Nurse Practitioner | 186 Fairchance Rd, Morgantown, WV 26508-4435 | 2017-09-06 |
1447774096 | Kristen Wigal | Nurse Practitioner | 2600 Cranberry Sq, Morgantown, WV 26508-9201 | 2017-07-26 |
1780068742 | Natasha Dawn Wamsley | Nurse Practitioner | 108 Clear Spring Dr, Morgantown, WV 26508-3203 | 2015-07-19 |
1558743849 | Stonerise Services, LLC | Nurse Practitioner | 30 Mon General Dr, Morgantown, WV 26505-2853 | 2015-06-23 |
Find all providers in MORGANTOWN |
City | MORGANTOWN |
Zip Code | 26508 |
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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.