Nicole Jane Siva, LSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

AP00942414 Issued in WV

Practice address

971 Harrison Ave
Youth Health Service
Elkins, WV 26241

Phone

(304) 636-9450

Fax

(304) 636-7057

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669676607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 VALLEY COURT",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "26241",
            "telephone_number": "304-636-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 HARRISON AVE",
            "address_2": "YOUTH HEALTH SERVICE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "26241",
            "telephone_number": "304-636-9450",
            "fax_number": "304-636-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVA",
        "first_name": "NICOLE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WV",
            "license": "AP00942414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023397001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Sites
• Michele Sites
• Tammy Sites
• Tonya Marie Sites
• Jontasia Sitton
• Haylee Skaggs
• Lottie Skidmore
• Melissa Rae Skinner
• Marshall D Sklar, M.D.
• Alan Ken Skogstad

• Case Manager/Care Coordinator in Elkins, WV
• Providers in Elkins, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.