Active NPI
Michelle Stickel, SLP
- Speech-Language Pathologist
- Martinsburg, WV
National Provider Identifier
1497399729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1991
- Practice address
- Berkeley County Board of Education
1453 Winchester Avenue
Martinsburg, WV 25405 - Phone
- (304) 267-3595
- NPI assigned
- Oct 30, 2019
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1991 | WV | Primary |
Addresses
Primary practice location
Berkeley County Board of Education
1453 Winchester Avenue
Martinsburg, WV 25405
Mailing address
Berkeley County Board of Education
1453 Winchester Avenue
Martinsburg, WV 25405
Phone (304) 267-3595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP-1991 | Other | WV | WV BOARD OF EXAMINERS CARD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.stickel@k12.wv.us | ||
| Direct Messaging Address | thstewar@wvesc.org |
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 |
|---|---|---|---|
| 1991 | WV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1497399729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BERKELEY COUNTY BOARD OF EDUCATION",
"address_2": "1453 WINCHESTER AVENUE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25405",
"telephone_number": "304-267-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BERKELEY COUNTY BOARD OF EDUCATION",
"address_2": "1453 WINCHESTER AVENUE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25405",
"telephone_number": "304-267-3595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICKEL",
"first_name": "MICHELLE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "1991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BOARD OF EXAMINERS CARD",
"identifier": "SLP-1991",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.stickel@k12.wv.us",
"affiliation": "N",
"address_1": "Berkeley County Board of Education",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "25405",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thstewar@wvesc.org",
"affiliation": "N",
"address_1": "Berkeley County Board of Education",
"address_2": "1453 Winchester Avenue",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "25405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.