Shamele Mahen Battan-Wraith

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

R77274 Issued in AZ

Practice address

1501 N Campbell Ave
Tucson, AZ 85724-5058

Phone

(520) 626-7747

Fax

(520) 626-7747

NPI assigned

Jun 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1033789060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245058",
            "telephone_number": "520-626-7747",
            "fax_number": "520-626-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245058",
            "telephone_number": "520-626-7747",
            "fax_number": "520-626-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTAN-WRAITH",
        "first_name": "SHAMELE",
        "middle_name": "MAHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R77274",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R77274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn L Bates, DO
• Monica Bates
• Shawn Renee Bates, LMT
• Gordon Dean Bathel, LCSW
• Ramesh K Batra, M.D.
• McLynda Batterman, FNP-BC
• Elisabeth Batzli, MD
• Bauche Dental PC
• Megan Bauder, PA-C
• Amy Lynn Bauer, ANP

• Student in an Organized Health Care Education/Training Program in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.