Active NPI
Melissa Crigler
- Critical Care Medicine Registered Nurse
- Fairmont, WV
National Provider Identifier
1164893970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 883458
- Practice address
- 23 Pheasant Dr
Fairmont, WV 26554-1246 - Phone
- (304) 476-2166
- NPI assigned
- Oct 19, 2015
- Last updated
- Oct 19, 2015
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 883458 | WV | Primary |
Addresses
Primary practice location
23 Pheasant Dr
Fairmont, WV 26554-1246
Mailing address
23 Pheasant Dr
Fairmont, WV 26554-1246
Phone (304) 476-2166
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 |
|---|---|---|---|
| 883458 | WV | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1164893970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 PHEASANT DR",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541246",
"telephone_number": "304-476-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 PHEASANT DR",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541246",
"telephone_number": "304-476-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIGLER",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WV",
"license": "883458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.