Donte Shaka

Primary specialty

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

Practice address

17823 Rauland Dr
Walton Hills, OH 44146-5103

Phone

(216) 832-0190

NPI assigned

Dec 28, 2022

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1467165027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17823 RAULAND DR",
            "city": "WALTON HILLS",
            "state": "OH",
            "postal_code": "441465103",
            "telephone_number": "216-832-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17823 RAULAND DR",
            "city": "WALTON HILLS",
            "state": "OH",
            "postal_code": "441465103",
            "telephone_number": "216-832-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKA",
        "first_name": "DONTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Marie Marshall, RDN
• Anita Matthews, PTA
• Mended Heart LLC
• New Avenues to Independence Inc.
• PDN Options for Quality Care
• Lamar Dwayne Thomas Jr.
• Viaquest Healthcare Central (Walton)
• Brenda Joy Walker I, LPTA
• Walton Healthcare Group, LLC (Walton Manor Health Care Center)

• Student in an Organized Health Care Education/Training Program in Walton Hills, OH
• Providers in Walton Hills, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

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