Jenica Pearson, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

105091 Issued in WV

Practice address

510 Butler Ave
Martinsburg, WV 25405-9991

Phone

(304) 263-0811

Fax

(304) 262-1417

NPI assigned

Jan 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Shenandoah University

  • Family Medicine Physician
  • Winchester, VA
  • NPI 1245816560
  NPD (past)
• Shenandoah University

  • Orthopaedic Surgery Physician
  • Winchester, VA
  • NPI 1689231912
  NPD (past)

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1356981252",
    "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": "254059991",
            "telephone_number": "304-263-0811",
            "fax_number": "304-262-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BUTLER AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254059991",
            "telephone_number": "304-263-0811",
            "fax_number": "304-262-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JENICA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WV",
            "license": "99857",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WV",
            "license": "105091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JENICA.PEARSON@VA.GOV",
            "affiliation": "N",
            "address_1": "510 Butler Ave",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254059991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michele A Payne, RN
• Michele Payton
• Pdi Health WV LLC
• Pdi Health WV LLC
• Laura Pearrell, RRT
• Ciera Peck, NP
• Pediatrics Urgent Care PLLC
• Delores Pegg
• Amy Pelfrey, PPCNP-BC
• Lisa Mentzer Peltier, LGSW

• Acute Care Nurse Practitioner in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Acute Care Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.