Shashu Baraka, BS

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

1001 W Maple St
Kalamazoo, MI 49008-1843

Phone

(269) 459-4856

Fax

(269) 342-4088

NPI assigned

Sep 28, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Young Men'S Christian Association of Kalamazoo

  • Health Educator
  • Portage, MI
  • NPI 1124575980
  NPD (past)

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1295407336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAPLE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081843",
            "telephone_number": "269-459-4856",
            "fax_number": "269-342-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAPLE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081843",
            "telephone_number": "269-459-4856",
            "fax_number": "269-342-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 3rd St",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494412170",
            "country_code": "US",
            "telephone_number": "269-615-1357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAKA",
        "first_name": "SHASHU",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Jusuf Bangura Jr.
• Susan F. Bannon, MD
• Richard Kevin Bannow, D.D.S.
• Mark Thomas Banovetz Jr., MD
• Lisa Baptiste, MA, LLP
• Barbara W. Gustin, LMSW, LLC
• Macee Barber
• Sean Barkan, MD
• Anja Barnard
• Gretchen G Barnas, M.D.

• Health Educator in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Health Educator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.