Shandale Lauren McCall, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

113151 Issued in WV

Practice address

5447 Maple LN Ste a
Fayetteville, WV 25840-6872

Phone

(304) 574-1141

Fax

(304) 574-1151

NPI assigned

Jan 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1174384895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "DEEP WATER",
            "state": "WV",
            "postal_code": "250570326",
            "telephone_number": "304-719-8429",
            "fax_number": "304-574-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5447 MAPLE LN STE A",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258406872",
            "telephone_number": "304-574-1141",
            "fax_number": "304-574-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "SHANDALE",
        "middle_name": "LAUREN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "113151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabetha Long
• Jason Isaac Malcomb, DPT
• Lisa Marie Marshall, PRSS
• Eryn Mason
• Halie Caren Massie
• Bobbie Mae McClung, MA
• Kristi McComas
• Rhonda McKinney
• David Lee Meadows, DDS
• Rose Anne Michaels, MSN, FNP-BC

• Registered Nurse in Fayetteville, WV
• Providers in Fayetteville, WV by specialty
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.