Individual provider Active NPI

Jennifer Herzog, RN

  • Registered Nurse
  • Barboursville, WV
National Provider Identifier
1457087066
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95125 Issued in WV
Practice address
6354 US Route 60 E Ste 4
Barboursville, WV 25504-1247
Phone
(304) 733-1626
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95125 WV Primary

Addresses

Primary practice location

6354 US Route 60 E Ste 4
Barboursville, WV 25504-1247

Mailing address

6354 US Route 60 E Ste 4
Barboursville, WV 25504-1247

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jennifer.herzog@stonerise.com

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

State licenses

LicenseStateTypeSpecialty
95125WVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stonerise Reliable Healthcare LLC PastSince Jul 31, 2022 Accepting new patients
Stonerise Reliable Healthcare LLC PastSince Jul 31, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.herzog@stonerise.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1457087066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6354 US ROUTE 60 E STE 4",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 US ROUTE 60 E STE 4",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041247",
            "telephone_number": "304-733-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "95125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.herzog@stonerise.com",
            "affiliation": "N",
            "address_1": "3322 River Ave",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257052808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.