Individual provider Active NPI

Michele Staker, RN, BSN, NCSN

  • School Registered Nurse
  • Beckley, WV
National Provider Identifier
1962051730
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
42909 Issued in WV
Practice address
105 Adair St
Beckley, WV 25801-3733
Phone
(304) 256-4500
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 42909 WV Primary

Addresses

Primary practice location

105 Adair St
Beckley, WV 25801-3733

Mailing address

105 Adair St
Beckley, WV 25801-3733
Phone (304) 256-4500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mstaker@k12.wv.us

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
42909WVMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1962051730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ADAIR ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013733",
            "telephone_number": "304-256-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ADAIR ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013733",
            "telephone_number": "304-256-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKER",
        "first_name": "MICHELE",
        "credential": "RN, BSN, NCSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "42909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mstaker@k12.wv.us",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "105 Adair St",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258013733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.