Active NPI 1205529575 Individual Practitioner Female Practitioner

Kimberly Daugherty , LPN

Licensed Practical Nurse • Vienna, WV

Professional Overview & Biography Verified Profile Summary

Kimberly Daugherty, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Vienna, WV. Practice services are available at 2200 GRAND CENTRAL AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 Grand Central Ave Ste 101

Vienna, WV 261051300

Telephone 3044282554

Associated Practice Facility / Clinic

🏢 Integricare, Inc Facility NPI 1295700649

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Vienna, WV

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Vienna, WV (890 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-01

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WV 18897

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Jessica Lattea , RN

Registered Nurse - Home Health

NPI 1023701398

Registered Nurse

Charles Mcpherson

Occupational Therapy Assistant

NPI 1124711486

Stephanie Caltrider

Registered Nurse - Home Health

NPI 1215620588

Alicia Duranti , RN

Registered Nurse - Home Health

NPI 1255023495

Registered Nurse

Janet Turner

Physical Therapy Assistant

NPI 1285327312

Ann Spade

Registered Nurse - Home Health

NPI 1396438669

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 01, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location June 01, 2023

Registered at 2200 GRAND CENTRAL AVE STE 101, VIENNA, WV 261051300 (Tel: 3044282554)

📍

Updated Business Mailing Address June 01, 2023

Registered at 2200 GRAND CENTRAL AVE, VIENNA, WV 261051300

👤

Provider Name / Credentials Updated June 01, 2023

Recorded as KIMBERLY DAUGHERTY, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2023

Licensed Practical Nurse (License #18897 in WV)

🟢

Initial NPI Registration & Enumeration June 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1205529575

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 01, 2023

Last Update: June 01, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2200 Grand Central Ave

Vienna, WV 261051300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.