Active NPI
Misty Dawn Cook-McGowan
- Student in an Organized Health Care Education/Training Program
- Martinsburg, WV
National Provider Identifier
1215775291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 430 Ceritos TRL
Martinsburg, WV 25403-0400 - Phone
- (240) 500-0694
- NPI assigned
- Jul 16, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
430 Ceritos TRL
Martinsburg, WV 25403-0400
Mailing address
4201 Williamsport Pike
Martinsburg, WV 25404-6443
Phone (240) 500-0694
Other practice location 1
301 S King St
Shepherdstown, WV 25443-7000
Phone (204) 500-0694
Other practice location 2
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (240) 500-0694
Other practice location 3
Tristate Surgical Center
1006 Tavern Road
Martinsburg, WV 25401
Phone (240) 500-0694
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1215775291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 WILLIAMSPORT PIKE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254046443",
"telephone_number": "240-500-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 CERITOS TRL",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254030400",
"telephone_number": "240-500-0694"
}
],
"practiceLocations": [
{
"address_1": "301 S King St",
"address_purpose": "LOCATION",
"city": "Shepherdstown",
"state": "WV",
"postal_code": "254437000",
"country_code": "US",
"telephone_number": "204-500-0694",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Martinsburg",
"state": "WV",
"postal_code": "254013402",
"country_code": "US",
"telephone_number": "240-500-0694",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Tristate Surgical Center",
"address_2": "1006 Tavern Road",
"address_purpose": "LOCATION",
"city": "Martinsburg",
"state": "WV",
"postal_code": "25401",
"country_code": "US",
"telephone_number": "240-500-0694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK-MCGOWAN",
"first_name": "MISTY",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.