Active NPI
Marcia Stambaugh, RN
- School Registered Nurse
- Martinsburg, WV
National Provider Identifier
1740763887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 88652
- Practice address
- Berkeley County Board of Education
1453 Winchester Avenue
Martinsburg, WV 25405 - Phone
- (304) 267-3595
- Fax
- (304) 267-3599
- NPI assigned
- Sep 14, 2018
- 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 | 88652 | WV | Primary |
Addresses
Primary practice location
Berkeley County Board of Education
1453 Winchester Avenue
Martinsburg, WV 25405
Mailing address
Berkeley County Board of Educaiton
1453 Winchester Avenue
Martinsburg, WV 25405
Phone (304) 267-3259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85652 | Other | WV | WEST VIRGINIA BOARD OF EXAMINERS |
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 |
|---|---|---|---|
| 88652 | WV | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1740763887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BERKELEY COUNTY BOARD OF EDUCAITON",
"address_2": "1453 WINCHESTER AVENUE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25405",
"telephone_number": "304-267-3259",
"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": "1453 WINCHESTER AVENUE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25405",
"telephone_number": "304-267-3595",
"fax_number": "304-267-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMBAUGH",
"first_name": "MARCIA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WV",
"license": "88652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VIRGINIA BOARD OF EXAMINERS",
"identifier": "85652",
"state": "WV"
}
],
"endpoints": [],
"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 Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.