JENNIFER UNDERWOOD (NPI# 1184001604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184001604 |
Entity Type | Individual |
Full Name | JENNIFER UNDERWOOD |
Practice Address |
6000 Memorial Church Drive Morgantown WV 26501 |
Practice Telephone | 3042927316 |
Practice Fax Number | 3045998917 |
Mailing Telephone | 3042927316 |
Mailing Fax Number | 3045998917 |
Enumeration Date | 2015-05-05 |
Last Update Date | 2019-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
68234 | WV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810016843 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003044959 | Jennifer Sonmor Underwood | Behavioral Analyst | 6980 Vaughn Pointe Dr Apt H, Montgomery, AL 36116-1396 | 2009-06-30 |
1558524900 | Jennifer Marie Underwood | Social Worker | 34121 N Us Highway 45 Ste 224, Grayslake, IL 60030-1774 | 2008-07-07 |
1912210774 | Jennifer Michelle Underwood | Social Worker | 820 S Damen Ave, Chicago, IL 60612-3728 | 2010-07-22 |
1841425220 | Jennifer Stacey Underwood | Dentist | 5605 Princeton Ave Ste B, Columbus, GA 31904-9069 | 2009-05-28 |
1881852390 | Jennifer Lynn Underwood | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2008-05-30 |
Street Address |
6000 MEMORIAL CHURCH DRIVE |
City | MORGANTOWN |
State | WV |
Zip Code | 26501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366412926 | David Alan Bowlin Jr. | Internal Medicine | 6000 Memorial Church Drive, Morgantown, WV 26501 | 2006-01-25 |
1437389293 | Justin Russell Morgan | Physician Assistant | 6000 Memorial Church Drive, Morgantown, WV 26501 | 2009-07-15 |
1225111040 | Jan E Palmer | Family Medicine | 6000 Memorial Church Drive, Morgantown, WV 26501 | 2006-10-23 |
1437174851 | Anthony David Marcucci | Family Medicine | 6000 Memorial Church Drive, Morgantown, WV 26501 | 2006-07-13 |
1588635593 | Brian Jeremy Dixon | Family Medicine | 6000 Memorial Church Drive, Morgantown, WV 26501 | 2006-01-28 |
1568433571 | William Clifford Mitchell | Family Medicine | 6000 Memorial Church Drive, Morgantown, WV 26501 | 2006-01-28 |
1316917966 | Brandon Patrick Byron | Family Medicine | 6000 Memorial Church Drive, Morgantown, WV 26501 | 2006-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
1194280446 | Braeden Chase Carroll | Specialist/Technologist | 636 Madison Ave, Morgantown, WV 26501 | 2019-01-31 |
1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
Find all providers in zip 26501 |
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 | 26501 |
Please comment or provide details below to improve the information on JENNIFER UNDERWOOD.
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.