Brittany M Stumbo

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

188 Galaxy St
Kimball, WV 24853-7725

Phone

(304) 887-4941

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2021.

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1902490816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24070 COAL HERITAGE RD",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 GALAXY ST",
            "city": "KIMBALL",
            "state": "WV",
            "postal_code": "248537725",
            "telephone_number": "304-887-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBO",
        "first_name": "BRITTANY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Gravely
• Amber Hughes
• Ashley Isabelle
• Brianna McDaniel
• Marsha Faye Phillips, LICENSED SOCIAL WORK
• Wal-Mart Stores East LP
• Katrina Renee Watts
• Sharon Wilkins

• All providers in Kimball, WV
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.