Individual provider Active NPI

Katosha Noe, RN

  • Administrator Registered Nurse
  • South Charleston, WV
National Provider Identifier
1962149427
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
101285 Issued in WV
Practice address
332 6TH Ave
South Charleston, WV 25303-1269
Phone
(304) 415-6740
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 101285 WV Primary

Addresses

Primary practice location

332 6TH Ave
South Charleston, WV 25303-1269

Mailing address

332 6TH Ave
South Charleston, WV 25303-1269
Phone (304) 415-6740

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL securerecords.sanford.html Stonerise Home Health Services LLC

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
101285WVMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1962149427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 6TH AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031269",
            "telephone_number": "304-415-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 6TH AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031269",
            "telephone_number": "304-415-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOE",
        "first_name": "KATOSHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "WV",
            "license": "101285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "Stonerise Home Health Services LLC",
            "address_1": "332 6th Ave",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253031269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.