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ANCHOR MEDICAL LLC
NPI 1114342243
Nurse Practitioner in Beaver, WV

Active since February 26, 2014CLIA 51D2075049 · Waiver
106 LOCKHEED DR, BEAVER, WV 25813(304) 253-5155 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2022, Dec 21, 2020, Oct 16, 2020 and 1 more (4 updates tracked since 2016).

About Anchor Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANCHOR MEDICAL LLC (NPI 1114342243) is a healthcare organization registered as a nurse practitioner in Beaver, West Virginia and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Teresa L Tate, Owner, as its authorized official.

NPPES Registry Identity

NPI1114342243
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameANCHOR MEDICAL LLC
Location Address106 LOCKHEED DRBeaver, WV 25813-8962
Mailing Address106 Lockheed DrBeaver, WV 25813-8962 · (304) 253-5155
Phone(304) 253-5155
Organization SubpartNo
Authorized OfficialTeresa L TateOwner · (304) 253-5155
Enumeration DateFebruary 26, 2014
Last NPPES UpdateSeptember 28, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1114342243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WV · 51350
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
106 LOCKHEED DR, Beaver, WV 25813
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2075049

Anchor Medical LLC · Beaver, WV
Active · expires Mar 20, 2028
CLIA Number51D2075049
Laboratory TypePractitioner Other
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorTeresa L. Tate
Laboratory Phone(304) 253-5155
Laboratory LocationAnchor Medical LLC106 Lockheed Dr, Beaver, WV 25813
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUNTAIN ROOTED BEHAVIORAL HEALTH LLC
Psychiatry & Neurology (Psychiatry)
106 LOCKHEED DR
BEAVER, WV 25813
Raleigh County (304) 253-5155
MS. TERESA LYNN TATE APRN,BC
Nurse Practitioner (Family)
106 LOCKHEED DR
BEAVER, WV 25813
Raleigh County (304) 253-5155
AMANDA RENE DUESING
Nurse Practitioner (Family)
106 LOCKHEED DR
BEAVER, WV 25813
Raleigh County (304) 253-5155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anchor Medical LLC's NPI number?

The NPI number for Anchor Medical LLC is 1114342243. It was assigned to this organization in the NPPES registry on February 26, 2014.

Where is Anchor Medical LLC located?

Anchor Medical LLC is located at 106 Lockheed Dr, Beaver, WV 25813. The listed phone number is (304) 253-5155.

What is Anchor Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Anchor Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2075049) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Anchor Medical LLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Anchor Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anchor Medical LLC was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.