Jeremy Emanuel Shumaker Jr.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2151 College Ave
Bakersfield, CA 93305-4113

Phone

(661) 868-8080

NPI assigned

Oct 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Kern Behavioral Health &Recovery Services

  • Day Training/Habilitation Specialist
  • Bakersfield, CA
  • NPI 1073393666
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1992585608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12517 WOODSON BRIDGE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933115105",
            "telephone_number": "661-431-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 COLLEGE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054113",
            "telephone_number": "661-868-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKER",
        "first_name": "JEREMY",
        "middle_name": "EMANUEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anamika Shukla, P.A.
• Nirav Subhashchandra Shukla, RPH
• Pankaj Shukla, MD
• James D Shuler, MD
• Barbara Shumaker, LCSW
• Zainab Dalia Shurbaji, THERAPIST
• Latisha Genise Shyne-Dixon, LVN
• Siadatie a Prof Dental Corp
• Tisa Siadatie, D.D.S.
• Rukia Sial

• Community Health Worker in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.