Provider Demographics
NPI:1548642861
Name:BECTON, SHEMEIKA
Entity type:Individual
Prefix:
First Name:SHEMEIKA
Middle Name:
Last Name:BECTON
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 1:2438 ELVANS RD SE
Mailing Address - Street 2:#201
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3557
Mailing Address - Country:US
Mailing Address - Phone:202-427-4931
Mailing Address - Fax:
Practice Address - Street 1:2438 ELVANS RD SE
Practice Address - Street 2:#201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3557
Practice Address - Country:US
Practice Address - Phone:202-427-4931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA 11278374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide