Organization Active NPI

Shenells

  • Community/Behavioral Health Agency
  • Shreveport, LA
National Provider Identifier
1699212696
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHENELLS
Practice address
2120 N Hearne Ave Apt 403
Shreveport, LA 71107-7183
Phone
(318) 655-1451
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dejanara Dorshell Baker
Title
Mental Health Specialist
Phone
(318) 655-1451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2120 N Hearne Ave Apt 403
Shreveport, LA 71107-7183

Mailing address

2120 N Hearne Ave Apt 403
Shreveport, LA 71107-7183
Phone (318) 655-1451

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1699212696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N HEARNE AVE APT 403",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711077183",
            "telephone_number": "318-655-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N HEARNE AVE APT 403",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711077183",
            "telephone_number": "318-655-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENELLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DEJANARA",
        "authorized_official_middle_name": "DORSHELL",
        "authorized_official_title_or_position": "MENTAL HEALTH SPECIALIST",
        "authorized_official_telephone_number": "318-655-1451"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.