KACIE OWENS (NPI# 1528476793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528476793 |
Entity Type | Individual |
Full Name | KACIE OWENS |
Credential | PPCNP-BC |
Practice Address |
830 Pennslyvania Avenue Suite 103 Charleston WV 25302-3389 |
Mailing Address |
Po Box 124 Eleanor WV 25070-0124 |
Practice Telephone | 3043881552 |
Mailing Telephone | 3045421090 |
Enumeration Date | 2014-07-31 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN78736-CPNP | WV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810028354 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
800 Pennsylvania Ave, Charleston, WV 253023351 | 3043885432 |
Street Address |
830 PENNSLYVANIA AVENUE SUITE 103 |
City | CHARLESTON |
State | WV |
Zip Code | 25302-3389 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
Find all providers in zip 25302 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912515511 | Naajah Hughes | Nurse Practitioner | 96 Jonathan Lucas Street Csb 428 Msc 608, Charleston, SC 29425-0001 | 2020-07-20 |
1124214895 | Elizabeth Zimmerman Thelan | Nurse Practitioner | 2051 Charlie Hall Blvd., Charleston, SC 29414 | 2007-09-17 |
1699305862 | Katherine Gannon Kiesel | Nurse Practitioner | 2067 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2020-01-16 |
1255979738 | Gabrielle Amarante | Nurse Practitioner | 2067 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2019-12-16 |
1396388393 | Jessica Kristen Gardner | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8900 | 2019-10-22 |
1114426814 | Erin Hill | Nurse Practitioner | 1871 Savage Rd, Charleston, SC 29407-4726 | 2018-02-08 |
1528566932 | Mckenzie Clark | Nurse Practitioner | 51 Nassau St, Charleston, SC 29403-5513 | 2018-01-31 |
1255842910 | Vanessa Lee Adams | Nurse Practitioner | 165 Ashley Ave, Charleston, SC 29425-8905 | 2017-10-20 |
1720524556 | Christine Lee Butler | Nurse Practitioner | 1941 Savage Rd Ste 100e, Charleston, SC 29407-4788 | 2017-01-18 |
1487197844 | Colleen Cusick Yazdi | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2016-12-02 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25302 |
Please comment or provide details below to improve the information on KACIE OWENS.
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.