Active NPI
Susan J Dilly, REGISTERED NURSE
- School Registered Nurse
- Martinsburg, WV
National Provider Identifier
1730737339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 47365
- Practice address
- Berkeley County Board of Education
1435 Winchester Ave
Martinsburg, WV 25405 - Phone
- (304) 267-3595
- Fax
- (304) 267-3599
- NPI assigned
- Aug 28, 2019
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 47365 | WV | Primary |
Addresses
Primary practice location
Berkeley County Board of Education
1435 Winchester Ave
Martinsburg, WV 25405
Mailing address
Berkeley County Board of Education
1435 Winchester Ave
Martinsburg, WV 25405
Phone (304) 267-3595
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susan.dilly@k12.wv.us | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47365 | WV | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1730737339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BERKELEY COUNTY BOARD OF EDUCATION",
"address_2": "1435 WINCHESTER AVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25405",
"telephone_number": "304-267-3595",
"fax_number": "304-267-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BERKELEY COUNTY BOARD OF EDUCATION",
"address_2": "1435 WINCHESTER AVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25405",
"telephone_number": "304-267-3595",
"fax_number": "304-267-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLY",
"first_name": "SUSAN",
"middle_name": "J",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WV",
"license": "47365",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "susan.dilly@k12.wv.us",
"affiliation": "N",
"endpointDescription": "work email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "staying connected to other professionals",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "questions clarifications",
"address_1": "Berkeley County Board of Education",
"address_2": "1435 Winchester Ave",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "25405",
"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 Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.