Active NPI
Tonya Jo Stover, LPN
- Licensed Practical Nurse
- South Charleston, WV
National Provider Identifier
1629889092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 41212
- Practice address
- 5311 Ohio St
South Charleston, WV 25309-1021 - Phone
- (304) 419-8353
- NPI assigned
- Jan 15, 2025
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 41212 | WV | Primary |
Addresses
Primary practice location
5311 Ohio St
South Charleston, WV 25309-1021
Mailing address
5311 Ohio St
South Charleston, WV 25309-1021
Phone (304) 419-8353
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 |
|---|---|---|---|
| 41212 | WV | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1629889092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 OHIO ST",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091021",
"telephone_number": "304-419-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5311 OHIO ST",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091021",
"telephone_number": "304-419-8353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "TONYA",
"middle_name": "JO",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-15",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WV",
"license": "41212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.