KACIE OWENS


Address: 830 Pennslyvania Avenue, Suite 103, Charleston, WV 25302-3389
Phone: 3043881552

KACIE OWENS (NPI# 1528476793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810028354 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
800 Pennsylvania Ave, Charleston, WV 253023351 3043885432

Office Location

Street Address 830 PENNSLYVANIA AVENUE
SUITE 103
City CHARLESTON
State WV
Zip Code 25302-3389

Providers in the same zip code

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 Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City CHARLESTON
Zip Code 25302

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Dataset Information

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.

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