Shajna Charli'Z Ogbolu, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

1037438 Issued in TX

Practice address

1650 W College St
Grapevine, TX 76051-3565

Phone

(817) 481-1588

NPI assigned

Sep 26, 2024

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1437976727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 GUADALUPE DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266961",
            "telephone_number": "214-863-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W COLLEGE ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513565",
            "telephone_number": "817-481-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBOLU",
        "first_name": "SHAJNA",
        "middle_name": "CHARLI'Z",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "1037438",
            "primary": true
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "TX",
            "license": "1037438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• OB/GYN of North Texas LLP
• Jovita Nkeiruka Obi
• Stephen Barry Obrien, DDS
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Betty Odeyingbo
• Kristen M. Ogg, DO
• Valencia Monita Oglesby, DO
• Olivia Wedel Counseling & Consulting, PLLC
• Morenike Naomi Salone Olorunnisomo, LPC-ASSOCIATE
• Omnicell Specialty Pharmacy Services, Inc.

• Medical-Surgical Registered Nurse in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Medical-Surgical Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.