NZINGHA SHABAKA (NPI# 1063602530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063602530 |
| Entity Type | Individual |
| Full Name | NZINGHA SHABAKA |
| Practice Address |
13675 Coursey Blvd #1728 Baton Rouge LA 70817-1344 |
| Practice Telephone | 2257534149 |
| Practice Fax Number | 2257534149 |
| Mailing Telephone | 2257534149 |
| Mailing Fax Number | 2257534149 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
13675 COURSEY BLVD #1728 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734999 | Antoinette Carter | Driver | 3931 Hillmont Dr, Baton Rouge, LA 70814-4708 | 2020-09-09 |
| 1952910846 | Patrice Quinette Jackson | Driver | 7274 Modesto Ave, Baton Rouge, LA 70811-4427 | 2020-07-27 |
| 1730707670 | Monica Johnson | Driver | 10018 Sandhill Ct, Baton Rouge, LA 70809-5925 | 2020-07-07 |
| 1780216929 | Roderick Lee Edwards II | Driver | 5724 Benson Dr, Baton Rouge, LA 70812-2603 | 2020-02-05 |
| 1053957431 | Encore Transportation LLC | Driver | 12454 Windermere Oaks Ct, Baton Rouge, LA 70810-0910 | 2019-11-21 |
| 1346808953 | Alwonda Deshon Randolph | Driver | 9466 Balboa Dr, Baton Rouge, LA 70810-2315 | 2019-05-30 |
| 1982269882 | Delvin Coston | Driver | 4445 Noble Cane Dr, Baton Rouge, LA 70814-8042 | 2019-05-06 |
| 1720546112 | Noah Dewayne Johnson Jr. | Driver | 11707 Kingston Dr, Baton Rouge, LA 70807-2066 | 2019-03-05 |
| 1225594146 | Shonda Monique Davis | Driver | 12416 Excalibur Ave, Baton Rouge, LA 70816-2410 | 2019-02-15 |
| 1548724990 | Chauna H Jackson | Driver | 7200 Cypress Lakes Apartment Blvd Apt 601, Baton Rouge, LA 70809-5307 | 2019-01-29 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
Please comment or provide details below to improve the information on NZINGHA SHABAKA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.