Victoria Sigmon, LPN

Individual provider Active NPI Licensed Practical Nurse · South Charleston, WV

NPI 1861197824 · NPPES record last updated Mar 31, 2023

Key facts

NPI
1861197824
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
39142 (WV)
Practice address
332 6TH Ave
South Charleston, WV 25303-1269
Phone
(304) 757-9333
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
39142WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stonerise Home Health Services LLC Past
since Apr 6, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 39142 WV Yes

Addresses

Primary practice location

332 6TH Ave
South Charleston, WV 25303-1269

Mailing address

774 Centennial Dr
Charleston, WV 25312-8059
Phone (304) 552-1216

Other providers in South Charleston, WV

All providers in South Charleston, WV · Licensed Practical Nurse in West Virginia

Sources for this page

Verify at the official NPI Registry.