Shola Christina Mazgaj, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

55437 Issued in WV

Practice address

100 Teletech Dr Ste 1
Moundsville, WV 26041-2790

Phone

(304) 843-3379

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1184333999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46931 COLUMBIA HILL RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508653",
            "telephone_number": "740-359-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TELETECH DR STE 1",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260412790",
            "telephone_number": "304-843-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZGAJ",
        "first_name": "SHOLA",
        "middle_name": "CHRISTINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "55437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shola.mazgaj1@wvumedicine.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "100 Teletech Dr Ste 1",
            "city": "Moundsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260412790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trent Glen Mason, MD
• Michelle Rae Masters-Lynch
• Melinda Dawn Masters
• Tara Renee Matts
• Bethany Maury, APRN, FNP-C
• Robert Lee McBee
• Benjamin Xavier McCardle
• Leesa Catheryn McCardle
• Martha R McCardle
• Joann McCarthy

• Home Health Registered Nurse in Moundsville, WV
• Providers in Moundsville, WV by specialty
• Home Health Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.