Individual provider Active NPI

Justine Mantz

  • Community Paramedic
  • Winchester, VA
National Provider Identifier
1588522619
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community ParamedicTaxonomy code 146E00000X
License
1355 Issued in WV
Practice address
190 Prosperity Dr Ste 4
Winchester, VA 22602-5401
Phone
(540) 247-8702
NPI assigned
Jan 15, 2026
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Paramedic 146E00000X 1355 WV Primary

Addresses

Primary practice location

190 Prosperity Dr Ste 4
Winchester, VA 22602-5401

Mailing address

1087 Cold Stream Road
Capon Bridge, WV 26711
Phone (540) 532-8123

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

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1588522619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 COLD STREAM ROAD",
            "city": "CAPON BRIDGE",
            "state": "WV",
            "postal_code": "26711",
            "telephone_number": "540-532-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PROSPERITY DR STE 4",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226025401",
            "telephone_number": "540-247-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTZ",
        "first_name": "JUSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146E00000X",
            "taxonomy_group": "",
            "desc": "Community Paramedic",
            "state": "WV",
            "license": "1355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.