Active NPI
Nathaniel Siggers
- Peer Specialist
- Williamson, WV
National Provider Identifier
1245975150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 21-935
- Practice address
- 104 Logan St
Williamson, WV 25661-3606 - Phone
- (304) 236-5902
- NPI assigned
- May 4, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 21-935 | WV | Primary |
Addresses
Primary practice location
104 Logan St
Williamson, WV 25661-3606
Mailing address
PO Box 2080
Williamson, WV 25661-2080
Phone (304) 236-5902
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 |
|---|---|---|---|
| 21-935 | WV | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1245975150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2080",
"city": "WILLIAMSON",
"state": "WV",
"postal_code": "256612080",
"telephone_number": "304-236-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 LOGAN ST",
"city": "WILLIAMSON",
"state": "WV",
"postal_code": "256613606",
"telephone_number": "304-236-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIGGERS",
"first_name": "NATHANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-04",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WV",
"license": "21-935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamson, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.