Active NPI
Debra Jo Cutlip, PA
- Physician Assistant
- Webster Springs, WV
National Provider Identifier
1174500110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 107
- Practice address
- 324 Miller Mountain Dr
Webster Springs, WV 26288-1026 - Phone
- (304) 847-5682
- Fax
- (304) 847-5985
- NPI assigned
- Dec 30, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 107 | WV | Primary |
Addresses
Primary practice location
324 Miller Mountain Dr
Webster Springs, WV 26288-1026
Mailing address
PO Box 312
Webster Springs, WV 26288-0312
Phone (304) 847-5682
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107 | WV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1174500110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 312",
"city": "WEBSTER SPRINGS",
"state": "WV",
"postal_code": "262880312",
"telephone_number": "304-847-5682",
"fax_number": "304-847-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 MILLER MOUNTAIN DR",
"city": "WEBSTER SPRINGS",
"state": "WV",
"postal_code": "262881026",
"telephone_number": "304-847-5682",
"fax_number": "304-847-5985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLIP",
"first_name": "DEBRA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster Springs, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.