DERMATOLOGY OUTREACH, LLC
NPI 1558678623
Nurse Practitioner - Family in Bridgeport, WV
NPI Status: Active since September 09, 2010
Contact Information
111 STATE ST.
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-3341
Fax: (304) 842-3441
- Organization
- Nurse Practitioner
- Family
- Accepts Insurance
About DERMATOLOGY OUTREACH, LLC
This page provides the complete NPI Profile along with additional information for Dermatology Outreach, Llc, a provider established in Bridgeport, West Virginia operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1558678623 assigned on September 2010. The practitioner's primary taxonomy code is 363LF0000X with license number 50679 (WV). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Kristi M Lafferty Crnp (Owner)
- NPI
- 1558678623
- Provider Name
- DERMATOLOGY OUTREACH, LLC
- Entity Type
- Organization
- Location Address
- 111 STATE ST. BRIDGEPORT, WV 26330
- Location Phone
- (304) 842-3341
- Location Fax
- (304) 842-3441
- Mailing Address
- 111 STATE ST. BRIDGEPORT, WV 26330
- Mailing Phone
- (304) 842-3341
- Mailing Fax
- (304) 842-3441
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-09-2010
- Last Update Date
- 05-17-2013
- Code Navigator
A nurse practitioner (NP) like Dermatology Outreach, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 50679
- License State
- WV
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Low Deductible Silver 5000 $3 Generic Drugs - HMO
- Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
- my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 9200 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Premier Silver 0 - PPO
- my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 2000 - PPO
- my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Silver 6000 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7103093000 | MEDICAID (05) | WV | |
| P62606 | MEDICARE UPIN (02) | ||
| LANP10712 | MEDICARE PIN (08) | WV | |
| P62606 | MEDICARE UPIN (02) | WV | |
| 2633814 | MEDICAID (05) | OH | |
| LANP21911 | MEDICARE PIN (08) | OH | |
| NP10713 | MEDICARE PIN (08) | WV | |
| 9391271 | MEDICARE PIN (08) | WV |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558678623, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558678623, enumerated as an "organization" on September 09, 2010.
The provider is located at 111 STATE ST. BRIDGEPORT, WV 26330 and the phone number is (304) 842-3341.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to verify.
