Active NPI
Jennifer Ann Springer, NURSE
- Diabetes Educator Registered Nurse
- Weirton, WV
National Provider Identifier
1093814709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 22347
- Practice address
- 601 Colliers Way
Weirton, WV 26062-5014 - Phone
- (304) 797-6190
- Fax
- (304) 797-6490
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 22347 | WV | Primary |
Addresses
Primary practice location
601 Colliers Way
Weirton, WV 26062-5014
Mailing address
601 Colliers Way
Weirton, WV 26062-5014
Phone (304) 797-6190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810003436 | 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 |
|---|---|---|---|
| 22347 | WV | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093814709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 COLLIERS WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625014",
"telephone_number": "304-797-6190",
"fax_number": "304-797-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 COLLIERS WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625014",
"telephone_number": "304-797-6190",
"fax_number": "304-797-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGER",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "WV",
"license": "22347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003436",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.