Active NPI
Deborah J Stine, RN
- Registered Nurse
- Martinsburg, WV
National Provider Identifier
1295903292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 46458
- Practice address
- Berkeley County Board of Education
401 South Queen Street
Martinsburg, WV 25401 - Phone
- (304) 267-3500
- NPI assigned
- Feb 13, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 46458 | WV | Primary |
Addresses
Primary practice location
Berkeley County Board of Education
401 South Queen Street
Martinsburg, WV 25401
Mailing address
Berkeley County Board of Education
401 South Queen Street
Martinsburg, WV 25401
Phone (304) 267-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0162539000 | Medicaid | WV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46458 | WV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1295903292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BERKELEY COUNTY BOARD OF EDUCATION",
"address_2": "401 SOUTH QUEEN STREET",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25401",
"telephone_number": "304-267-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BERKELEY COUNTY BOARD OF EDUCATION",
"address_2": "401 SOUTH QUEEN STREET",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25401",
"telephone_number": "304-267-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINE",
"first_name": "DEBORAH",
"middle_name": "J",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "46458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0162539000",
"state": "WV"
}
],
"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 Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.