Active NPI
Angela Sholough
- Homemaker
- Martinsburg, WV
National Provider Identifier
1366048084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 397 Mid Atlantic Pkwy Ste 1
Martinsburg, WV 25404-7468 - Phone
- (304) 267-3997
- Fax
- (304) 267-5882
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
397 Mid Atlantic Pkwy Ste 1
Martinsburg, WV 25404-7468
Mailing address
225 Burdette Dr
Martinsburg, WV 25404-7316
Phone (304) 671-7814
Other practice location 1
702 Pinnacle Dr
Bunker Hill, WV 25413-3556
Phone (304) 350-1109
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Angela.Miller1128@gmail.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1366048084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 BURDETTE DR",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254047316",
"telephone_number": "304-671-7814",
"fax_number": "304-471-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 MID ATLANTIC PKWY STE 1",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254047468",
"telephone_number": "304-267-3997",
"fax_number": "304-267-5882"
}
],
"practiceLocations": [
{
"address_1": "702 Pinnacle Dr",
"address_purpose": "LOCATION",
"city": "Bunker Hill",
"state": "WV",
"postal_code": "254133556",
"country_code": "US",
"telephone_number": "304-350-1109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOLOUGH",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Angela.Miller1128@gmail.com",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "397 Mid Atlantic Pkwy Ste 1",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254047468",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.