Shakica N Bastfield

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

546940 Issued in NC

Practice address

5513 Monroe Rd Ste 207
Charlotte, NC 28212-5503

Phone

(980) 273-2726

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• MK Health Service LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
  • NPI 1700596392
  NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1821728213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 MONROE RD STE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "980-273-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 MONROE RD STE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "980-273-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTFIELD",
        "first_name": "SHAKICA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "546940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynne Bass, PA
• Sallie W. Bass, CRNA
• Sharessa M Bass
• Sydney Delissa Bassard, CCC-SLP
• Emily Oliver Bassett
• Kate Louise Bastida, LCAS, LMFT
• Calea Bastnagel
• Brian Gregory Batas, MD
• Katherine Batas
• Eric S Batchatis, D.C.

• Nurse's Aide in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nurse's Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.