Jill Elizabeth Sypolt, NP

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

47643 Issued in WV

Practice address

510 Washington St W
Charleston, WV 25302-2036

Phone

(304) 344-9841

Fax

(304) 344-1756

NPI assigned

Sep 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26000/brand/2/csg/1/fhir/r4

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.

• Women'S Health Center of WV, Inc

  • Case Management Agency
  • Charleston, WV
  • NPI 1659544013
  NPD (past)
• Womens Health Center of West Virginia Inc

  • Women's Health Nurse Practitioner
  • Charleston, WV
  • NPI 1073679254
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1437345899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WASHINGTON ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022036",
            "telephone_number": "304-344-9841",
            "fax_number": "304-344-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WASHINGTON ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022036",
            "telephone_number": "304-344-9841",
            "fax_number": "304-344-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYPOLT",
        "first_name": "JILL",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "WV",
            "license": "47643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006834000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "237186",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farzeen Fatma Syed, M.D.
• Jareaha Sylvester
• Michael P. Syner
• Synergy Health Inc
• Synergy Health Inc
• Dawn Syslo
• Charles Szasz
• Samantha L. Szostak, PT, DPT
• Oneika Tabb
• Kamryn Tabor

• Clinical Nurse Specialist in Charleston, WV
• Providers in Charleston, WV by specialty
• Clinical Nurse Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.