MISS TRISTA L. BRUNTY (NPI# 1407008519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407008519 |
| Entity Type | Individual |
| Full Name | MISS TRISTA L. BRUNTY |
| Credential | PA-C |
| Practice Address |
57 Sutphin Ln Scarbro WV 25917-8817 |
| Mailing Address |
Po Box 337 Scarbro WV 25917-0337 |
| Practice Telephone | 3044692905 |
| Practice Fax Number | 3046492981 |
| Mailing Telephone | 3044692905 |
| Mailing Fax Number | 3044651518 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
445 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
57 SUTPHIN LN |
| City | SCARBRO |
| State | WV |
| Zip Code | 25917-8817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447245600 | New River Health Association Inc | Clinic/Center | 57 Sutphin Ln, Scarbro, WV 25917-8817 | 2005-09-14 |
| 1760927271 | Leisa Robinson | Social Worker | 57 Sutphin Ln, Scarbro, WV 25917-8817 | 2016-12-20 |
| 1013313816 | New River Health Association, Inc | Clinic/Center | 57 Sutphin Ln, Scarbro, WV 25917-8817 | 2014-11-06 |
| 1386068690 | Wendy Ladawn Godby | Nurse Practitioner | 57 Sutphin Ln, Scarbro, WV 25917-8817 | 2014-02-06 |
| 1063699478 | Daniel L Boyce | Family Medicine | 57 Sutphin Ln, Scarbro, WV 25917-8817 | 2008-01-28 |
| 1972571537 | James M Powell | Social Worker | 57 Sutphin Ln, New River Health Sbh, Scarbro, WV 25917-8817 | 2006-03-09 |
| 1306816954 | Betsy B Kanakanui | Nurse Practitioner | 57 Sutphin Ln, Scarbro, WV 25917-8817 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164670105 | Zachary R Vance | Physician Assistant | 57 Sutphin Lane, Scarbro, WV 25917 | 2008-09-03 |
| 1013935048 | Rosalyn H Rama | Physician Assistant | Rr2, New River Health- Whipple, Scarbro, WV 25917 | 2006-07-17 |
| 1811983331 | New River Health Association, Inc | Clinic/Center | 908 Scarbro Road, Scarbro, WV 25917 | 2005-09-20 |
| 1710970801 | James David Miller | Physician Assistant | New River Health Scarbro, Old Scarbro Road, Scarbro, WV 25917 | 2005-08-24 |
| 1336665066 | Jamie Katherine Schraer | Pharmacist | 908 Scarbro Road, Scarbro, WV 25917 | 2017-08-15 |
| 1922544097 | Lisa Gale Perdue | Social Worker | 908 Scarbro Road, Scarbro, WV 25917 | 2017-01-13 |
| 1285013888 | Mary Katherine Lilly | Social Worker | 908 Scarbro Road, Scarbro, WV 25917 | 2015-05-28 |
| 1619356052 | Cynthia E Williams | Nurse Practitioner | 908 Scarbro Road, Scarbro, WV 25917 | 2015-05-19 |
| 1841619467 | New River Health Association, Inc. | Clinic/Center | 908 Scarbro Road, Suite A, Scarbro, WV 25917 | 2014-04-10 |
| 1851643597 | Jessica G Shieler | Social Worker | 908 Scarbro Road, New River Health - Scarbro, Scarbro, WV 25917 | 2012-10-04 |
| Find all providers in zip 25917 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013935048 | Rosalyn H Rama | Physician Assistant | Rr2, New River Health- Whipple, Scarbro, WV 25917 | 2006-07-17 |
| 1538433271 | Amanda Marie Davis | Physician Assistant | 908 Scarbro Rd, Scarbro, WV 25917-8837 | 2012-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
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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.