Selena D Musgrove

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

20 Deer Haven Dr
Fairmont, WV 26554-5995

Phone

(304) 694-3239

NPI assigned

Nov 24, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1386248045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DEER HAVEN DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545995",
            "telephone_number": "304-694-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DEER HAVEN DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545995",
            "telephone_number": "304-694-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "SELENA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207653",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smusgrove@maionseniors.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 Deer Haven Dr",
            "city": "Fairmont",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265545995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yvonne Moyer
• Francesca Mullen, MS CCCSLP
• Kaci Mullins, BS
• Sree K.P. Mulpuru, M.D.
• Emily Murphy
• Jennifer Lynn Music, DDS PLLC
• Mva Fairmont Clinic
• Mva X-Ray Fairmont Clinic (Monongahela Valley Associaiton of Health Centers, Inc.)
• Mva X-Ray Fairmont Clinic
• Donna Lynn Myers

• Personal Care Attendant in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.