Individual provider Active NPI

Jennifer M Pauley, SCHOOL NURSE

  • School Registered Nurse
  • Hamlin, WV
National Provider Identifier
1083122303
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
66439 Issued in WV
Practice address
10 Marland Ave
Hamlin, WV 25523-1058
Phone
(304) 824-6000
NPI assigned
Jan 22, 2018
Last updated
Jan 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 66439 WV Primary

Addresses

Primary practice location

10 Marland Ave
Hamlin, WV 25523-1058

Mailing address

2001 McCoy Rd
Huntington, WV 25701-4937
Phone (304) 529-6208

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

LicenseStateTypeSpecialty
66439WVMDSchool Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1083122303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MCCOY RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014937",
            "telephone_number": "304-529-6208",
            "fax_number": "304-529-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARLAND AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231058",
            "telephone_number": "304-824-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "SCHOOL NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "66439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlin, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.