Active NPI
Trina Light Melody, RN
- Registered Nurse
- Keyser, WV
National Provider Identifier
1447439344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 27076
- Practice address
- One Tornado Way
Keyser High School
Keyser, WV 26726 - Phone
- (304) 788-4230
- Fax
- (304) 788-4234
- NPI assigned
- Oct 26, 2007
- 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 | 27076 | WV | Primary |
Addresses
Primary practice location
One Tornado Way
Keyser High School
Keyser, WV 26726
Mailing address
One Tornado Way
Keyser High School
Keyser, WV 26726
Phone (304) 788-4230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0161619000 | 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
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1447439344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE TORNADO WAY",
"address_2": "KEYSER HIGH SCHOOL",
"city": "KEYSER",
"state": "WV",
"postal_code": "26726",
"telephone_number": "304-788-4230",
"fax_number": "304-788-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE TORNADO WAY",
"address_2": "KEYSER HIGH SCHOOL",
"city": "KEYSER",
"state": "WV",
"postal_code": "26726",
"telephone_number": "304-788-4230",
"fax_number": "304-788-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELODY",
"first_name": "TRINA",
"middle_name": "LIGHT",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "27076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0161619000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keyser, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.