Provider Demographics
NPI:1013795947
Name:BAYNES, SHAMEKA MICHELLE
Entity Type:Individual
Prefix:
First Name:SHAMEKA
Middle Name:MICHELLE
Last Name:BAYNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 SMELKER ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-1338
Mailing Address - Country:US
Mailing Address - Phone:281-662-4147
Mailing Address - Fax:
Practice Address - Street 1:495 SMELKER ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-1338
Practice Address - Country:US
Practice Address - Phone:281-662-4147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)