JAMIE LYNN PEDEN (NPI# 1679199780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679199780 |
| Entity Type | Individual |
| Full Name | JAMIE LYNN PEDEN |
| Practice Address |
3031 Crestwood Rd Charleston WV 25302-1651 |
| Practice Telephone | 3043891194 |
| Mailing Telephone | 3043891194 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
39384 | WV | Nursing Service Providers |
| Street Address |
3031 CRESTWOOD RD |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-1651 |
| 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 | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841549938 | Starla Jo Mcgorty | Registered Nurse | 2095 Henry Tecklenburg Drive, Charleston, SC 29414 | 2012-09-05 |
| 1194960286 | Medical University Hospital Authority | Registered Nurse | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-12-04 |
| 1487769964 | Jean Rhodes | Registered Nurse | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-21 |
| 1003921578 | Jeanne Barreira | Registered Nurse | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941296 | Kristy L Wilson | Registered Nurse | 800 Garfield Ave # Sdu, Parkersburg, WV 26101-5340 | 2020-01-15 |
| 1003455403 | Brenna Lansden | Registered Nurse | 6027 Baker Rd, Huntington, WV 25705-2221 | 2020-01-02 |
| 1538584719 | The Mother Baby Connection | Registered Nurse | Hc 64 Box 100-22, Yellow Spring, WV 26865-9506 | 2014-02-25 |
| 1275143828 | Amy Blue | Registered Nurse | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-08-07 |
| 1790192243 | Molly Scarborough Mcmillion | Registered Nurse | 107 Circle Dr, Lewisburg, WV 24901-8952 | 2014-07-16 |
| City | CHARLESTON |
| Zip Code | 25302 |
Please comment or provide details below to improve the information on JAMIE LYNN PEDEN.
| 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.