FREDDY D CONLEY (NPI# 1922353424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922353424 |
| Entity Type | Individual |
| Full Name | FREDDY D CONLEY |
| Credential | NP |
| Practice Address |
17978 Sr 55 Baker WV 26801 |
| Mailing Address |
Po Box 97 Baker WV 26801-0097 |
| Practice Telephone | 3048975915 |
| Practice Fax Number | 3048976216 |
| Mailing Telephone | 3048975915 |
| Mailing Fax Number | 3048976216 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2013-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
82984 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV STATE LICENSE NUMBER | 82984 | 01 |
| Street Address |
17978 SR 55 |
| City | BAKER |
| State | WV |
| Zip Code | 26801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962486738 | Donald D Harris | Physician Assistant | 17978 Sr 55, Baker, WV 26801 | 2005-12-05 |
| 1568060010 | Anna N Ruddle | Social Worker | 17978 Sr 55, Baker, WV 26801-0097 | 2020-10-15 |
| 1164078465 | Caitlin Johnson | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2019-08-13 |
| 1942761853 | Elizabeth Hott | Nurse Practitioner | 17978 Sr 55, Baker, WV 26801 | 2019-03-26 |
| 1477061059 | Johna Lyn Secrist | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2018-01-17 |
| 1386167302 | Ashton Louise Humphrey | Nurse Practitioner | 17978 Sr 55, Baker, WV 26801 | 2017-07-21 |
| 1962850669 | Stephanie Gosnell | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2016-06-03 |
| 1609264969 | Chantell Dawn Coby | Nurse Practitioner | 17978 Sr 55, Baker, WV 26801-0097 | 2015-01-08 |
| 1558765412 | Rebecca Nicole King | Social Worker | 17978 Sr 55, Baker, WV 26801 | 2014-10-21 |
| 1922400274 | Bonnie Armentrout | Social Worker | 17978 Sr 55, Baker, WV 26801-0097 | 2014-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152280 | Sylvia Coontz | Technician | 1789 State Rd 55, Apt 201, Baker, WV 26801 | 2020-07-27 |
| 1053891598 | E. A. Hawse Health Center, Inc. | Family Medicine | 238 Cougar Drive, Baker, WV 26801 | 2018-08-15 |
| 1508301250 | Hardy County Emergency Ambulance Authority | Ambulance | 17940 State Road 55, Baker, WV 26801 | 2017-01-04 |
| 1386975746 | E.a. Hawse Health Center, Inc | Pharmacy | 17978 State Route 55, Baker, WV 26801-0031 | 2010-01-26 |
| 1811035702 | Wendy Zolla Treadway | Counselor | 79 Grover Smith Rd, Baker, WV 26801-0058 | 2007-02-02 |
| 1518023472 | E.a. Hawse Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | Route 259, Baker, WV 26801-0070 | 2006-12-28 |
| 1295810448 | Lisa Marie Basye | Physician Assistant | 17978 State Rt. 55, Baker, WV 26801-0097 | 2006-10-26 |
| 1184686701 | Amy Teresa Phebus | Physician Assistant | 370 Harmony Springs Ln, Baker, WV 26801-8163 | 2006-04-06 |
| 1417560012 | Ashley Nicole Castell | Technician | 18 Old Baker Rd, Baker, WV 26801-8198 | 2020-08-25 |
| 1730798000 | Carolyn Milburn | Technician | 1485 Terra Alta School Rd, Baker, WV 26801-8225 | 2020-07-23 |
| Find all providers in zip 26801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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|---|---|---|---|---|
| 1902202278 | Mps Quickcare, LLC | Nurse Practitioner | 14224 Felicity Dr, Baker, LA 70714-5420 | 2014-11-13 |
| 1376972406 | Oreal Perkins | Nurse Practitioner | 17511 Wisdom Dr, Baker, LA 70714-1527 | 2013-11-08 |
| 1518211853 | Baker School Based Health Clinic | Nurse Practitioner | 3033 Ray Weiland Dr # B, Baker, LA 70714-3251 | 2012-11-08 |
| 1225388929 | Kendra Paul Patrick | Nurse Practitioner | 14224 Felicity Drive, Baker, LA 70714 | 2012-09-11 |
| 1164649703 | Mathis Dream LLC | Nurse Practitioner | 1321 Georgia Ave, Baker, FL 32531-2605 | 2007-04-18 |
| 1164649794 | Debra Lynn Mathis | Nurse Practitioner | 1321 Georgia Avenue, Baker, FL 32531-2605 | 2007-04-18 |
| 1508414855 | Hailey Mcmanus Murphy | Nurse Practitioner | 12902 Plank Rd, Baker, LA 70714-4911 | 2019-08-29 |
| 1760905343 | Elizabeth Ann Mouton | Nurse Practitioner | 12880 Plank Rd, Baker, LA 70714-4909 | 2017-07-25 |
| 1326453689 | Rebecca A Davis Fnp-c LLC | Nurse Practitioner | 12902 Plank Rd, Baker, LA 70714-4911 | 2014-06-25 |
| 1912262429 | Stephanie Linton Nolan | Nurse Practitioner | 12880 Plank Rd, Baker, LA 70714-4909 | 2012-07-10 |
| Find all providers in BAKER | ||||
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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.