Active NPI
Melody Rehm
- School Registered Nurse
- Beckley, WV
National Provider Identifier
1003087859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 30238
- Practice address
- 400 Neville St
Beckley, WV 25801-4511 - Phone
- (304) 256-4712
- NPI assigned
- Mar 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 30238 | WV | Primary |
Addresses
Primary practice location
400 Neville St
Beckley, WV 25801-4511
Mailing address
400 Neville St
Beckley, WV 25801-4511
Phone (304) 256-4712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004245 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30238 | WV | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1003087859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 NEVILLE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014511",
"telephone_number": "304-256-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NEVILLE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014511",
"telephone_number": "304-256-4712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHM",
"first_name": "MELODY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WV",
"license": "30238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004245",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.