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RENAL RD WV LLC
NPI 1881276665
Dietitian, Registered in Barboursville, WV

Active since April 22, 2021
1811 COFFMAN ST, BARBOURSVILLE, WV 25504(304) 617-4067 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Renal Rd Wv Llc NPPES

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

RENAL RD WV LLC (NPI 1881276665) is a healthcare organization registered as a dietitian, registered in Barboursville, West Virginia and active in the NPI registry since April 2021. The organization lists Jillian Pate, Owner, as its authorized official.

NPPES Registry Identity

NPI1881276665
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameRENAL RD WV LLC
Location Address1811 COFFMAN STBarboursville, WV 25504-2023
Mailing Address1811 Coffman StBarboursville, WV 25504-2023 · (304) 617-4067
Phone(304) 617-4067
Organization SubpartNo
Authorized OfficialJillian PateOwner · (304) 617-4067
Enumeration DateApril 22, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1881276665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1811 COFFMAN ST, Barboursville, WV 25504
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renal Rd Wv Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Renal Rd Wv LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jillian Pate, MS, RD, CSR, LD
Registered Dietitian or Nutrition Professional
NPI 1245825223
1811 COFFMAN ST
Barboursville, WV 25504
(304) 617-4067
✔ Accepts MedicareSame address
Jessica Walden, MS, RD, LD, BBA
Registered Dietitian or Nutrition Professional
NPI 1760092084
1022 NASHMONT DR
Ona, WV 25545
(304) 634-0325
5.4 mi
Lisa Jones, RD, LD
Registered Dietitian or Nutrition Professional
NPI 1245225820
24 MACCORKLE AVE SW
South Charleston, WV 25303
(304) 720-2222
✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Renal Rd Wv LLC's NPI number?

The NPI number for Renal Rd Wv LLC is 1881276665. It was assigned to this organization in the NPPES registry on April 22, 2021.

Where is Renal Rd Wv LLC located?

Renal Rd Wv LLC is located at 1811 Coffman St, Barboursville, WV 25504. The listed phone number is (304) 617-4067.

What is Renal Rd Wv LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Renal Rd Wv LLC enrolled in Medicare?

Yes. Renal Rd Wv LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renal Rd Wv LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Renal Rd Wv LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Renal Rd Wv LLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Renal Rd Wv 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 Renal Rd Wv LLC was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.