Active NPI
Tina Six, RN
- School Registered Nurse
- Princeton, WV
National Provider Identifier
1700305240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 54524
- Practice address
- 1403 Honaker Avenue
Princeton, WV 24740 - Phone
- (304) 487-1551
- Fax
- (304) 487-3047
- NPI assigned
- Sep 15, 2017
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 54524 | WV | Primary |
Addresses
Primary practice location
1403 Honaker Avenue
Princeton, WV 24740
Mailing address
1403 Honaker Ave
Princeton, WV 24740-3065
Phone (304) 487-1551
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 |
|---|---|---|---|
| 54524 | WV | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1700305240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 HONAKER AVE",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247403065",
"telephone_number": "304-487-1551",
"fax_number": "304-487-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 HONAKER AVENUE",
"city": "PRINCETON",
"state": "WV",
"postal_code": "24740",
"telephone_number": "304-487-1551",
"fax_number": "304-487-3047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIX",
"first_name": "TINA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WV",
"license": "54524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.