Magnolia Mendoza Shapit, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP025005 Issued in PA

Practice address

404 E High St
Pottstown, PA 19464-5622

Phone

(484) 973-6661

Fax

(610) 631-3408

NPI assigned

Dec 7, 2021

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

Other names 1

• Magnolia Medina Mendoza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1326706276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645622",
            "telephone_number": "484-973-6661",
            "fax_number": "610-631-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645622",
            "telephone_number": "484-973-6661",
            "fax_number": "610-631-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIT",
        "first_name": "MAGNOLIA",
        "middle_name": "MENDOZA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2022-05-20",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGNOLIA",
            "last_name": "MENDOZA",
            "middle_name": "MEDINA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Shaner
• Kristin Shaner, MA, CAC, CEAP, LPC
• Mark Alan Shanta
• Ansi Shao
• Nieta G Shapiro, M.D.
• Elizabeth Anne Sharer
• Navneet K Sharma, M.D.
• Nicole Elizabeth Shaylor
• Shear to Please Salon
• Michelle Leanne Sheetz

• Psychiatric/Mental Health Nurse Practitioner in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.