Dept of Veteran Affairs

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

BP00941695 Issued in WV

Legal business name

DEPT OF VETERAN AFFAIRS

Practice address

510 Butler Ave
Martinsburg, WV 25405-9990

Phone

(304) 263-0811

NPI assigned

Aug 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Lee Smith

Title

Social Worker

Phone

(304) 263-0811

Specialties & licenses 1

Addresses

Other names 1

• VA Medical Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1326395286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BUTLER AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254059990",
            "telephone_number": "304-263-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BUTLER AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254059990",
            "telephone_number": "304-263-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "304-263-0811"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "BP00941695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VA Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Delong, LMT
• Caroline Delorme
• Deborah Lynn Denbleyker, NP
• Amy Denham
• Erin Denne, MPT
• Cathryn Mary Deronda, MSW, LGSW
• Tammy Sue Detweiler
• David Benjamin Deuell, D.O.
• Sandra Devonshire
• Diabetes, Endocrinology & Lipidology Center, Inc.

• Skilled Nursing Facility in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.