Prestera Health Services | |
99 Cracker Barrel Dr Ste 100 Barboursville WV 25504-1650 | |
(304) 525-7851 | |
(304) 697-1251 |
Full Name | Prestera Health Services |
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Speciality | Community/Behavioral Health |
Location | 99 Cracker Barrel Dr Ste 100, Barboursville, West Virginia |
Authorized Official Name and Position | Lisa Irene Zappia (PRESIDENT/CEO) |
Authorized Official Contact | 3043997760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prestera Health Services 99 Cracker Barrel Dr Ste 100 Barboursville WV 25504-1650 Ph: (304) 525-7851 | Prestera Health Services 99 Cracker Barrel Dr Ste 100 Barboursville WV 25504-1650 Ph: (304) 525-7851 |
NPI Number | 1356336903 |
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Provider Enumeration Date | 09/20/2005 |
Last Update Date | 10/30/2024 |
Certification Date | 10/24/2024 |
Medicare PECOS PAC ID | 9234029307 |
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Medicare Enrollment ID | O20040319001328 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356336903 | NPI | - | NPPES |
Provider Name | Anne M Zappacosta |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487614004 PECOS PAC ID: 5991617201 Enrollment ID: I20031105000062 |
Provider Name | Walter R Byrd |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427023985 PECOS PAC ID: 7810898871 Enrollment ID: I20040114000391 |
Provider Name | Michael David Hall |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1871693077 PECOS PAC ID: 5890682066 Enrollment ID: I20040302000962 |
Provider Name | Cristina L Goldizen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467553180 PECOS PAC ID: 8921094939 Enrollment ID: I20040714001422 |
Provider Name | Nika Razavipour |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1699889428 PECOS PAC ID: 3678545944 Enrollment ID: I20040807000126 |
Provider Name | Kambiz Soleymani |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740394576 PECOS PAC ID: 8921096108 Enrollment ID: I20040807000151 |
Provider Name | Mahija Kottapalli |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366511271 PECOS PAC ID: 2163496985 Enrollment ID: I20040825001476 |
Provider Name | Victor F Nease |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700831005 PECOS PAC ID: 1658349303 Enrollment ID: I20040921000004 |
Provider Name | Khan M Matin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124033931 PECOS PAC ID: 8224011382 Enrollment ID: I20050302000168 |
Provider Name | Jeffrey V Ashley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013019280 PECOS PAC ID: 6406880806 Enrollment ID: I20050926000046 |
Provider Name | Andy R Tanner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689776387 PECOS PAC ID: 2466487327 Enrollment ID: I20050929000004 |
Provider Name | Dilip Naraya Chandran |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124167531 PECOS PAC ID: 9032136106 Enrollment ID: I20051027000974 |
Provider Name | Lora B. Bowens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609052364 PECOS PAC ID: 3476639089 Enrollment ID: I20080324000446 |
Provider Name | Jamie R Stoner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568472512 PECOS PAC ID: 8123175411 Enrollment ID: I20090401000509 |
Provider Name | Eleanor L Gooch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891932711 PECOS PAC ID: 6305993221 Enrollment ID: I20090414000009 |
Provider Name | Lisa Lavonne Kearns |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1720054844 PECOS PAC ID: 7416943477 Enrollment ID: I20090803000293 |
Provider Name | Ted D Thornton |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194739938 PECOS PAC ID: 4486793619 Enrollment ID: I20091202000061 |
Provider Name | Jeffrey Priddy |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174537831 PECOS PAC ID: 7517096647 Enrollment ID: I20100527000207 |
Provider Name | Rachel J Sowards |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033296389 PECOS PAC ID: 8921132630 Enrollment ID: I20100817001047 |
Provider Name | Tahira Masood |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932316908 PECOS PAC ID: 2062538358 Enrollment ID: I20100923001026 |
Provider Name | Rownak Afroz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497963839 PECOS PAC ID: 2264612316 Enrollment ID: I20110208000309 |
Provider Name | Mary Lou Devaul-eshleman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104972025 PECOS PAC ID: 9234210964 Enrollment ID: I20110601000393 |
Provider Name | Sherry Lynn Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164778304 PECOS PAC ID: 9133377237 Enrollment ID: I20120914000408 |
Provider Name | Parrish Harless |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265780340 PECOS PAC ID: 1456501782 Enrollment ID: I20121023000616 |
Provider Name | Janis L Rule |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518274760 PECOS PAC ID: 5294928065 Enrollment ID: I20130124000324 |
Provider Name | Tracie B Rivera |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477787026 PECOS PAC ID: 3870747132 Enrollment ID: I20130214000223 |
Provider Name | Tayyab I Paracha |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629211008 PECOS PAC ID: 7810147949 Enrollment ID: I20130821000898 |
Provider Name | Matthew C Kellar |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285058453 PECOS PAC ID: 3971736919 Enrollment ID: I20140429000746 |
Provider Name | Krista Dawn Rhodes |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780901876 PECOS PAC ID: 1456501592 Enrollment ID: I20141219001642 |
Provider Name | Isaac G Alexis |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1447313762 PECOS PAC ID: 1658548672 Enrollment ID: I20141229000759 |
Provider Name | Edwin Walker |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861492134 PECOS PAC ID: 5092754226 Enrollment ID: I20150127001952 |
Provider Name | Eleanor L Gooch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891932711 PECOS PAC ID: 6305993221 Enrollment ID: I20150210001789 |
Provider Name | Kadara Keath Hudson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588055362 PECOS PAC ID: 0941513881 Enrollment ID: I20150721001264 |
Provider Name | James G Dumas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891705877 PECOS PAC ID: 6204994304 Enrollment ID: I20150811005904 |
Provider Name | Thomas Alfred Williams |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316267107 PECOS PAC ID: 7416109525 Enrollment ID: I20150918000226 |
Provider Name | Wei Hu |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346567088 PECOS PAC ID: 0840500831 Enrollment ID: I20151103001860 |
Provider Name | Edward Wendall Eskew |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1942671227 PECOS PAC ID: 3274550835 Enrollment ID: I20151216002200 |
Provider Name | Tonya L Holley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952769549 PECOS PAC ID: 1052600962 Enrollment ID: I20160517000862 |
Provider Name | Sheeba Rahman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023285848 PECOS PAC ID: 7214183680 Enrollment ID: I20160729001428 |
Provider Name | Sarah K Garand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891247086 PECOS PAC ID: 5193009587 Enrollment ID: I20170302001951 |
Provider Name | Sarah Hamons |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1588994016 PECOS PAC ID: 8628345014 Enrollment ID: I20170607000773 |
Provider Name | Christopher Kidd |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992148415 PECOS PAC ID: 2466721428 Enrollment ID: I20170706001995 |
Provider Name | Christy Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730624198 PECOS PAC ID: 2264703768 Enrollment ID: I20170802000063 |
Provider Name | Leslie J Boyd |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326463076 PECOS PAC ID: 9931470101 Enrollment ID: I20170807000887 |
Provider Name | Afiah A Ahsan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326380783 PECOS PAC ID: 0941574834 Enrollment ID: I20170915000868 |
Provider Name | Jennifer Rice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952813859 PECOS PAC ID: 1153689773 Enrollment ID: I20180102002891 |
Provider Name | Andrew Smith |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20180220002640 |
Provider Name | James Merrill |
---|---|
Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1265716278 PECOS PAC ID: 4486919529 Enrollment ID: I20180521001326 |
Provider Name | Melissa D Williamson |
---|---|
Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1720596729 PECOS PAC ID: 1052666971 Enrollment ID: I20180618002719 |
Provider Name | Spencer J Kissel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013499029 PECOS PAC ID: 4880948140 Enrollment ID: I20181126003943 |
Provider Name | Margaret Gail Pratt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134681075 PECOS PAC ID: 8729320023 Enrollment ID: I20190508000000 |
Provider Name | Ashley M Hutchens |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376086819 PECOS PAC ID: 1153655873 Enrollment ID: I20190628000683 |
Provider Name | Gerard E Spiegler |
---|---|
Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1619291648 PECOS PAC ID: 4183756414 Enrollment ID: I20190806002426 |
Provider Name | Chelse Raye Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194370676 PECOS PAC ID: 9032447685 Enrollment ID: I20190821001608 |
Provider Name | Lora L Morehead |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356751820 PECOS PAC ID: 8224366117 Enrollment ID: I20190830001349 |
Provider Name | Nina Pavlivna Kandyba |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568026243 PECOS PAC ID: 7517296817 Enrollment ID: I20190912000208 |
Provider Name | Larry Hugh Robertson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891336111 PECOS PAC ID: 9133553316 Enrollment ID: I20191220001466 |
Provider Name | Kristina Michele Isaacs |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770121287 PECOS PAC ID: 8628405388 Enrollment ID: I20200219002058 |
Provider Name | Kelli Spurlock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124651393 PECOS PAC ID: 6305077140 Enrollment ID: I20200325002017 |
Provider Name | Neha Gami |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548489867 PECOS PAC ID: 8628250396 Enrollment ID: I20200727003497 |
Provider Name | Colton Braucher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568090553 PECOS PAC ID: 2769806454 Enrollment ID: I20200728002886 |
Provider Name | Rachel A Henderson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699312546 PECOS PAC ID: 4688080591 Enrollment ID: I20210301001498 |
Provider Name | Phillip Bermudez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669056545 PECOS PAC ID: 7618386921 Enrollment ID: I20210517000921 |
Provider Name | Sean Patrick Marshall Riley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548867997 PECOS PAC ID: 3476952540 Enrollment ID: I20210521000347 |
Provider Name | Cecilia K Jarvis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902377138 PECOS PAC ID: 6901211069 Enrollment ID: I20210804003792 |
Provider Name | Brittani Shantel Lowe |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1881259695 PECOS PAC ID: 6901202498 Enrollment ID: I20210908003954 |
Provider Name | Marie Bernadette Casne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194456384 PECOS PAC ID: 7214313469 Enrollment ID: I20220926002791 |
Provider Name | Sheila Xi Cai |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780625012 PECOS PAC ID: 5698679280 Enrollment ID: I20230110002151 |
Provider Name | Kimberly Pirrone Wells |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063648111 PECOS PAC ID: 6507007010 Enrollment ID: I20230404001394 |
Provider Name | Sanket Rajaram Dhat |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164787701 PECOS PAC ID: 6608014733 Enrollment ID: I20230523003547 |
Provider Name | Galyn Shayne Mccallister |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043993686 PECOS PAC ID: 2163870924 Enrollment ID: I20231205000773 |
Provider Name | Eric David Schomburg |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609056969 PECOS PAC ID: 4587013511 Enrollment ID: I20231215000545 |
Provider Name | Bethany Issiaca Blankenship |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1013385459 PECOS PAC ID: 1850763731 Enrollment ID: I20231218002534 |
Provider Name | Justin Gibson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588817415 PECOS PAC ID: 1153460746 Enrollment ID: I20231219000498 |
Provider Name | Kenneth W Fitzwater |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1427232628 PECOS PAC ID: 7719337518 Enrollment ID: I20231220000055 |
Provider Name | Florence Michelle Wilburn |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1972695773 PECOS PAC ID: 6204286743 Enrollment ID: I20231227000464 |
Provider Name | Michaela Lee Reynolds |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1770182644 PECOS PAC ID: 0446600647 Enrollment ID: I20240102000019 |
Provider Name | Nicole Marie Gue |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679115992 PECOS PAC ID: 5991155194 Enrollment ID: I20240102000029 |
Provider Name | Morgan Blatt |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417586769 PECOS PAC ID: 9931559143 Enrollment ID: I20240102000217 |
Provider Name | Maureen C David |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649363896 PECOS PAC ID: 9537519665 Enrollment ID: I20240102001105 |
Provider Name | Tammy Lea Chaney |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992313563 PECOS PAC ID: 7214387232 Enrollment ID: I20240103000525 |
Provider Name | Sarah E Long |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1053636563 PECOS PAC ID: 8022469048 Enrollment ID: I20240103004676 |
Provider Name | Hewlett A Trogdon |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1346578440 PECOS PAC ID: 9638520125 Enrollment ID: I20240109003141 |
Provider Name | Florence Elizabeth Collier |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1801112016 PECOS PAC ID: 2961853478 Enrollment ID: I20240109003823 |
Provider Name | Amy Christine Rexroad |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1013667229 PECOS PAC ID: 7113378399 Enrollment ID: I20240111004812 |
Provider Name | Joumana Elkhansa |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1760614226 PECOS PAC ID: 1052764727 Enrollment ID: I20240129004616 |
Provider Name | Terrence D Walker |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1629568837 PECOS PAC ID: 0648611707 Enrollment ID: I20240507004486 |
Provider Name | Lisa Irene Zappia |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750326740 PECOS PAC ID: 5597078352 Enrollment ID: I20240510001177 |
Provider Name | Kristina M Clark |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083173702 PECOS PAC ID: 2264873066 Enrollment ID: I20240510001556 |
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