Active NPI
Carol L Decker, CNM
- Advanced Practice Midwife
- Martinsburg, WV
National Provider Identifier
1356310296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 126
- Practice address
- 99 Tavern Rd
Martinsburg, WV 25401-2890 - Phone
- (304) 263-0984
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 126 | WV | Primary |
Addresses
Primary practice location
99 Tavern Rd
Martinsburg, WV 25401-2890
Mailing address
99 Tavern Rd
PO Box 1146
Martinsburg, WV 25401-2890
Phone (304) 263-4999
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126 | WV | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1568186153
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Federally Qualified Health Center (FQHC)
- Winchester, VA
- NPI 1023217452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1356310296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 TAVERN RD",
"address_2": "PO BOX 1146",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012890",
"telephone_number": "304-263-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 TAVERN RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012890",
"telephone_number": "304-263-0984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "CAROL",
"middle_name": "L",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WV",
"license": "126",
"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 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.