Individual provider Active NPI

Stephanie Dawn Gladden, APRN, BC

  • Family Nurse Practitioner
  • Martinsburg, WV
National Provider Identifier
1730119447
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53032 Issued in WV
Practice address
1000 Tavern Rd Ste 100
Martinsburg, WV 25401-2853
Phone
(304) 267-9355
Fax
(304) 267-9358
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53032 WV Primary

Addresses

Primary practice location

1000 Tavern Rd Ste 100
Martinsburg, WV 25401-2853

Mailing address

220 Campus Blvd Ste 200
Winchester, VA 22601-2889
Phone (540) 536-0231

Other practice location 1

101 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-8911

Other identifiers 1

IdentifierTypeStateIssuer
3810001103MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sgladden514135@soc.inova.org
Direct Messaging Address sgladden514135@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000957 WV Practitioner - Nurse Practitioner 5496704819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1008 Tavern Rd
Suite 102
Martinsburg, WV 25401-2801
Phone (304) 263-5129

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53032WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians, Inc. CurrentSince Nov 1, 2017 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Nov 1, 2017 Accepting new patients
East Mountain Health Physicians Inc. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

1008 Tavern Rd
Ste 102
Martinsburg, WV 25401
Phone (304) 263-5129

120 Campus Dr
Ste 201
Martinsburg, WV 25404
Phone (304) 264-9485

1000 Tavern Rd
Ste 100
Martinsburg, WV 25401
Phone (304) 267-9355

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

1000 Tavern Rd
Martinsburg, WV 25401
Phone (304) 264-9485

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: sgladden514135@valleyhealth.direct-ci.com
  • Direct secure messaging: sgladden514135@soc.inova.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1730119447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TAVERN RD STE 100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012853",
            "telephone_number": "304-267-9355",
            "fax_number": "304-267-9358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Marcley Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012977",
            "country_code": "US",
            "telephone_number": "304-263-8911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLADDEN",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "53032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001103",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgladden514135@soc.inova.org",
            "affiliation": "N",
            "address_1": "101 Marcley Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgladden514135@soc.inova.org",
            "affiliation": "N",
            "address_1": "1000 Tavern Rd Ste 100",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.