Active NPI
Megan Shickle, RN
- Community Health Clinic/Center
- Martinsburg, WV
National Provider Identifier
1841611571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 0001170176
- Practice address
- 510 Butler Ave
Martinsburg, WV 25405-9990 - Phone
- (540) 869-0600
- Fax
- (540) 869-1984
- NPI assigned
- Dec 24, 2013
- 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 |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 0001170176 | VA | Primary |
Addresses
Primary practice location
510 Butler Ave
Martinsburg, WV 25405-9990
Mailing address
510 Butler Ave
Martinsburg, WV 25405-9990
Phone (540) 869-0600
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 |
|---|---|---|---|
| 0001170176 | VA | MD | Community Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387843200000",
"number": "1841611571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 BUTLER AVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254059990",
"telephone_number": "540-869-0600",
"fax_number": "540-869-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BUTLER AVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254059990",
"telephone_number": "540-869-0600",
"fax_number": "540-869-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHICKLE",
"first_name": "MEGAN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-24",
"last_updated": "2013-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "VA",
"license": "0001170176",
"primary": true
}
],
"identifiers": [],
"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 Dec 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.