Individual provider Active NPI

Michelle Stickel, SLP

  • Speech-Language Pathologist
  • Martinsburg, WV
National Provider Identifier
1497399729
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1991 Issued in WV
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

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SLP-1991OtherWVWV BOARD OF EXAMINERS CARD

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1991WVMDSpeech-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.

Verify at the official NPI Registry.