Individual provider Active NPI

Carmela Emerson, RN

  • School Registered Nurse
  • Berkeley Springs, WV
National Provider Identifier
1134633928
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
91746 Issued in WV
Practice address
247 Harrison Ave
Berkeley Springs, WV 25411-1909
Phone
(304) 267-3595
Fax
(304) 267-3599
NPI assigned
Dec 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 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 91746 WV Primary

Addresses

Primary practice location

247 Harrison Ave
Berkeley Springs, WV 25411-1909

Mailing address

Morgan County Board of Education
247 Harrison Avenue
Berkeley Springs, WV 25411
Phone (304) 267-3595

Other identifiers 1

IdentifierTypeStateIssuer
91746OtherWVWV BOARD OF EXAMINERS CARD REGISTERED NURSES

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

LicenseStateTypeSpecialty
91746WVMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan County Board of Education Past Accepting new patients
County of Morgan Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1134633928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MORGAN COUNTY BOARD OF EDUCATION",
            "address_2": "247 HARRISON AVENUE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "25411",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 HARRISON AVE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111909",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "CARMELA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "91746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF EXAMINERS CARD REGISTERED NURSES",
            "identifier": "91746",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.