Active NPI
Stephanie Dawn Gladden, APRN, BC
- Family Nurse Practitioner
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53032
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810001103 | Medicaid | WV |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Valley Health Home Health/West Virginia
- Berkeley Medical Center
- Winchester Medical Center
- Valley Health War Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53032 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Mountain Health Physicians, Inc. | Current | Accepting new patients | |
| East Mountain Health Physicians, Inc. | Current | 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
- sgladden514135@valleyhealth.direct-ci.com
- 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.
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1114460797
-
- Orthopaedic Surgery Physician
- Martinsburg, WV
- NPI 1437885365
-
- Urgent Care Clinic/Center
- Ranson, WV
- NPI 1659806602
-
- Occupational Medicine Clinic/Center
- Ranson, WV
- NPI 1841711512
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- Home Health Agency
- Romney, WV
- NPI 1871544213
-
- Critical Access Hospital
- Berkeley Springs, WV
- NPI 1467450353
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.