KRYSTAL DAWN TAWNEY


Address: 165 Scott Ave, Suite 100, Morgantown, WV 26508-8847
Phone: 3045540400

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810024409 05
PA 102780235 05

Office Location

Street Address 165 SCOTT AVE
SUITE 100
City MORGANTOWN
State WV
Zip Code 26508-8847

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MORGANTOWN
Zip Code 26508

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Dataset Information

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.

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