Individual provider Active NPI

Lois Rebecca McDonald, CLINICAL NURSE SPECI

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Sheperdstown, WV
National Provider Identifier
1952300519
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
28884 Issued in WV
Practice address
129 E. German St.
Office #206
Sheperdstown, WV 25443
Phone
(304) 886-8314
Fax
(304) 876-2939
NPI assigned
Jul 17, 2005
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 28884 WV Primary

Addresses

Primary practice location

129 E. German St.
Office #206
Sheperdstown, WV 25443

Mailing address

PO Box 79
Harpers Ferry, WV 25425
Phone (304) 886-8314

Other names 1

  • Lois R. McDonald Professional name

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)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental Evolution, LLC Current Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1952300519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "25425",
            "telephone_number": "304-886-8314",
            "fax_number": "304-876-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E. GERMAN ST.",
            "address_2": "OFFICE #206",
            "city": "SHEPERDSTOWN",
            "state": "WV",
            "postal_code": "25443",
            "telephone_number": "304-886-8314",
            "fax_number": "304-876-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "LOIS",
        "middle_name": "REBECCA",
        "credential": "CLINICAL NURSE SPECI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-17",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WV",
            "license": "28884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "MCDONALD",
            "middle_name": "R.",
            "credential": "PHD,APRN,BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sheperdstown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.