Individual provider Active NPI

Gay Sebert, RN

  • Registered Nurse
  • Ronceverte, WV
National Provider Identifier
1992124689
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
24575 Issued in WV
Practice address
9207 Seneca TRL
Ronceverte, WV 24970-1328
Phone
(304) 645-1787
Fax
(304) 645-3630
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 24575 WV Primary

Addresses

Primary practice location

9207 Seneca TRL
Ronceverte, WV 24970-1328

Mailing address

9207 Seneca TRL
Ronceverte, WV 24970-1328
Phone (304) 645-1787

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
24575WVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier County Board of Health PastSince Jul 10, 2014 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1992124689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 SENECA TRL",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701328",
            "telephone_number": "304-645-1787",
            "fax_number": "304-645-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9207 SENECA TRL",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701328",
            "telephone_number": "304-645-1787",
            "fax_number": "304-645-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBERT",
        "first_name": "GAY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "24575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.