CAROL MCLENNAN (NPI# 1871969717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871969717 |
| Entity Type | Individual |
| Full Name | CAROL MCLENNAN |
| Credential | FNP-C |
| Practice Address |
710 Genesis Blvd Bridgeport WV 26330-9668 |
| Mailing Address |
527 Medical Park Dr Ste 400 Bridgeport WV 26330-9010 |
| Practice Telephone | 6813423490 |
| Practice Fax Number | 6813423491 |
| Mailing Telephone | 6813423490 |
| Mailing Fax Number | 6813423491 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 92122 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
92122 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477601474 | Carol Sue Mclennan | Registered Nurse | 3505 Hardwood Forest Dr, Louisville, KY 40214-6513 | 2007-01-08 |
| Street Address |
710 GENESIS BLVD |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255444766 | Timothy K Jackson | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-08-17 |
| 1487168795 | Meranda Chipps | Nurse Practitioner | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2017-11-22 |
| 1811332166 | John Blake Epling | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2013-04-30 |
| 1245585207 | Aaradhana Kaul | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2012-07-16 |
| 1346447943 | Kristen Nicole Moore | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2007-06-28 |
| 1780767772 | United Hospital Center | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-10-23 |
| 1679672505 | Premier Medical Group, Inc. | Clinical Medical Laboratory | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119081 | Brittney Vargo | Nurse Practitioner | 71480 Sharon Rd, Bridgeport, OH 43912-7725 | 2020-06-23 |
| 1760007843 | Stephanie Jaser | Nurse Practitioner | 2660 Main St Ste 219, Bridgeport, CT 06606-5301 | 2020-06-14 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1730383563 | Ags Inc | Nurse Practitioner | 164 Thompson Dr, Bridgeport, WV 26330-1644 | 2007-06-14 |
| 1407876543 | Laurie A Haydu | Nurse Practitioner | 211 State St, Bridgeport, CT 06604-4808 | 2006-07-20 |
| 1194727172 | Marleena Dimaggio | Nurse Practitioner | 82 George St, Bridgeport, CT 06604-3315 | 2005-08-10 |
| 1255939880 | Ashley Weaver | Nurse Practitioner | 6940 Dixie Hwy, Bridgeport, MI 48722-9760 | 2020-10-15 |
| 1164030565 | Alyssa Garza | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-21 |
| 1427674548 | Cassandra Esposito | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-06-24 |
| 1447898861 | Gustavo David Herrera-brito | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2019-12-16 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on CAROL MCLENNAN.
| 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.