Individual provider Active NPI

Michelle Renee Stotler

  • Homemaker
  • Martinsburg, WV
National Provider Identifier
1922694744
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
397 Mid Atlantic Pkwy Ste 1
Martinsburg, WV 25404-7468
Phone
(304) 267-3997
Fax
(304) 267-5882
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X Primary

Addresses

Primary practice location

397 Mid Atlantic Pkwy Ste 1
Martinsburg, WV 25404-7468

Mailing address

155 Country LN
Falling Waters, WV 25419-3557
Phone (304) 991-0662

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mstotler66@gmail.com Health Information Exchange (HIE)

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1922694744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 COUNTRY LN",
            "city": "FALLING WATERS",
            "state": "WV",
            "postal_code": "254193557",
            "telephone_number": "304-991-0662",
            "fax_number": "304-471-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 MID ATLANTIC PKWY STE 1",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254047468",
            "telephone_number": "304-267-3997",
            "fax_number": "304-267-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTLER",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mstotler66@gmail.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "397 Mid Atlantic Pkwy Ste 1",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 16, 2020; 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.