Active NPI
Catherine Ellen Gandolfi, RN
- Registered Nurse
- Martinsburg, WV
National Provider Identifier
1043951791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 64787
- Practice address
- 510 Butler Ave
Martinsburg, WV 25405-9990 - Phone
- (304) 263-0811
- Fax
- (304) 579-2673
- NPI assigned
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 64787 | WV | Primary |
Addresses
Primary practice location
510 Butler Ave
Martinsburg, WV 25405-9990
Mailing address
160 Laurel Dr
Wiley Ford, WV 26767-9742
Phone (304) 841-1026
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Catherine.Gandolfi2@va.gov |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64787 | WV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1043951791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 LAUREL DR",
"city": "WILEY FORD",
"state": "WV",
"postal_code": "267679742",
"telephone_number": "304-841-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BUTLER AVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254059990",
"telephone_number": "304-263-0811",
"fax_number": "304-579-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDOLFI",
"first_name": "CATHERINE",
"middle_name": "ELLEN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "64787",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Catherine.Gandolfi2@va.gov",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "510 Butler Ave",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254059990",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.