Active NPI
Shellie Faulstick
- School Registered Nurse
- Moundsville, WV
National Provider Identifier
1740648609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 66704
- Practice address
- 214 Middle Grave Creek Rd
Moundsville, WV 26041-6009 - Phone
- (304) 231-3820
- NPI assigned
- Feb 8, 2016
- 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 | 66704 | WV | Primary |
Addresses
Primary practice location
214 Middle Grave Creek Rd
Moundsville, WV 26041-6009
Mailing address
30 G C and P Rd
Resa-6
Wheeling, WV 26003-6129
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 |
|---|---|---|---|
| 66704 | WV | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1740648609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 G C AND P RD",
"address_2": "RESA-6",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 MIDDLE GRAVE CREEK RD",
"city": "MOUNDSVILLE",
"state": "WV",
"postal_code": "260416009",
"telephone_number": "304-231-3820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULSTICK",
"first_name": "SHELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WV",
"license": "66704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moundsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.