Active NPI
Kathryn Verzich
- Registered Nurse
- Petersburg, WV
National Provider Identifier
1437328259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 24587
- Practice address
- 204 Jefferson Ave
Petersburg, WV 26847-1628 - Phone
- (304) 257-1011
- NPI assigned
- Feb 26, 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 | 24587 | WV | Primary |
Addresses
Primary practice location
204 Jefferson Ave
Petersburg, WV 26847-1628
Mailing address
HC 78 Box 96a
Riverton, WV 26814-9709
Phone (304) 567-3164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013079000 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24587 | WV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant County Board of Education | Past | Accepting new patients | |
| Grant County Board of Education | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Petersburg, WV
- NPI 1700055365
-
- Local Education Agency (LEA)
- Petersburg, WV
- NPI 1750579066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1437328259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 78 BOX 96A",
"city": "RIVERTON",
"state": "WV",
"postal_code": "268149709",
"telephone_number": "304-567-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 JEFFERSON AVE",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "268471628",
"telephone_number": "304-257-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERZICH",
"first_name": "KATHRYN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "24587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013079000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.