The Medical Spa of Baton Rouge

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

025911 Issued in LA

Legal business name

THE MEDICAL SPA OF BATON ROUGE

Practice address

7150 Jefferson Hwy
Suite 530
Baton Rouge, LA 70806-8128

Phone

(225) 216-7885

NPI assigned

Mar 4, 2010

Last updated

Mar 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenyatta Dayatra Shamlin, M.D.

Title

Co-Owner

Phone

(225) 216-7885

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1275856270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 JEFFERSON HWY",
            "address_2": "SUITE 530",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068128",
            "telephone_number": "225-216-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 JEFFERSON HWY",
            "address_2": "SUITE 530",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068128",
            "telephone_number": "225-216-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL SPA OF BATON ROUGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "SHAMLIN",
        "authorized_official_first_name": "KENYATTA",
        "authorized_official_middle_name": "DAYATRA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "225-216-7885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "202129",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "025910",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "025911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Helping Place LLC
• The Jackson Group, LLC (Laughter in Your Belly Wellness)
• The Lens Source (Shenandoah eye clinic)
• The Louisiana Center for Health and Wellness LLC
• The Masterpiece Counseling Center
• The Merite Group LLC
• The Mobility Depot, LLC
• The Mobility Depot, LLC
• The Mobility Depot, LLC
• The Monte' Garcia Salon

• Internal Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.