Shanae Jeanette Baines, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

244624 Issued in AZ

Practice address

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004

Phone

(623) 832-6560

NPI assigned

Dec 27, 2024

Last updated

Dec 27, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Elysium Elevated Home Care LLC

  • In Home Supportive Care Agency
  • Peoria, AZ
  • NPI 1164218590
  NPD Authorized official

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1356159925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 W BEARDSLEY RD UNIT 15203",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822746",
            "telephone_number": "773-947-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 W THUNDERBIRD BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513004",
            "telephone_number": "623-832-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINES",
        "first_name": "SHANAE",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AZ",
            "license": "244624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azmed Rehab LLC
• Sandeep Badhwar, M.D.
• Marco A Badillo Almaraz
• Liqun Bai, MD
• Melissa Bailey, MSW, LCSW
• Clifford Tsuyoshi Baker, M.D
• Krishnan R Bala, D D S
• Alfonso G. Ballesteros, M.D.
• Banner Arizona Medical Clinic LTD
• Banner Boswell Medical Center (Banner Boswell Rehabilitation Center)

• Critical Care Medicine Registered Nurse in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Critical Care Medicine Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.