Active NPI
Brooke Elizabeth Pataky
- Student in an Organized Health Care Education/Training Program
- Morgantown, WV
National Provider Identifier
1689342453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2756 University Ave Apt 13
Morgantown, WV 26505-3565 - Phone
- (540) 841-6443
- NPI assigned
- Sep 5, 2021
- Last updated
- Sep 5, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WV | Primary |
Addresses
Primary practice location
2756 University Ave Apt 13
Morgantown, WV 26505-3565
Mailing address
2756 University Ave Apt 13
Morgantown, WV 26505-3565
Phone (540) 841-6443
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": "1630800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630800000000",
"number": "1689342453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2756 UNIVERSITY AVE APT 13",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053565",
"telephone_number": "540-841-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2756 UNIVERSITY AVE APT 13",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053565",
"telephone_number": "540-841-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATAKY",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-05",
"last_updated": "2021-09-05",
"certification_date": "2021-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.