Active NPI
Sammi Johnson, RN
- Registered Nurse
- Berkeley Springs, WV
National Provider Identifier
1679900864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 73215
- Practice address
- 247 Harrison Avenue
Morgan County Board of Education
Berkeley Springs, WV 25411 - Phone
- (304) 267-3595
- Fax
- (307) 267-3599
- NPI assigned
- Oct 2, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 73215 | WV | Primary |
Addresses
Primary practice location
247 Harrison Avenue
Morgan County Board of Education
Berkeley Springs, WV 25411
Mailing address
247 Harrison Avenue
Morgan County Board of Education
Berkeley Springs, WV 25411
Phone (304) 267-3595
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73215 | WV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Morgan | Past | Accepting new patients | |
| Morgan County Board of Education | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Berkeley Springs, WV
- NPI 1518155399
-
- Local Education Agency (LEA)
- Berkeley Springs, WV
- NPI 1306015136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1679900864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 HARRISON AVENUE",
"address_2": "MORGAN COUNTY BOARD OF EDUCATION",
"city": "BERKELEY SPRINGS",
"state": "WV",
"postal_code": "25411",
"telephone_number": "304-267-3595",
"fax_number": "307-267-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 HARRISON AVENUE",
"address_2": "MORGAN COUNTY BOARD OF EDUCATION",
"city": "BERKELEY SPRINGS",
"state": "WV",
"postal_code": "25411",
"telephone_number": "304-267-3595",
"fax_number": "307-267-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SAMMI",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "73215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley Springs, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.