Provider Demographics
NPI:1669366050
Name:HOUSTON, SHANEE R
Entity type:Individual
Prefix:
First Name:SHANEE
Middle Name:R
Last Name:HOUSTON
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 1:907 ELLSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-1707
Mailing Address - Country:US
Mailing Address - Phone:614-805-0805
Mailing Address - Fax:614-805-0805
Practice Address - Street 1:907 ELLSWORTH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-1707
Practice Address - Country:US
Practice Address - Phone:614-805-0805
Practice Address - Fax:614-805-0805
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)