Active NPI
Omeeka Shannon
- Non-emergency Medical Transport (VAN)
- Baton Rouge, LA
National Provider Identifier
1164875951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 8568345
- Practice address
- 10651 Timberlane Ave
Baton Rouge, LA 70811-1761 - Phone
- (225) 252-6922
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 8568345 | LA | Primary |
Addresses
Primary practice location
10651 Timberlane Ave
Baton Rouge, LA 70811-1761
Mailing address
10651 Timberlane Ave
Baton Rouge, LA 70811-1761
Phone (225) 252-6922
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8568345 | LA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1164875951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10651 TIMBERLANE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708111761",
"telephone_number": "225-252-6922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10651 TIMBERLANE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708111761",
"telephone_number": "225-252-6922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "OMEEKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "LA",
"license": "8568345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
- Shane Tewis, DDS of Louisiana, a Professional Dental LLC
- Shannon Candid Louisiana, Professional Corporation
- Shannon E Smith LPC, LLC
- Amie B Shannon, M.D.
- Michael Joseph Shannon, DDS
- Robin Chatman Shannon, DDS
- Sean Edward Shannon, M.D.
- Stephen Patrick Shannon, DDS
- Daniel Manuel Shapiro, DO
- Ahmad Sharayah, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.