MEDICARE: SHANEL BARKER LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion		OH
2	376K00000X	Nurse's Aide		OH
3	164W00000X	Licensed Practical Nurse	PN-154781	OH
4	172A00000X	Driver	RU724913	OH
5	251E00000X	Home Health Agency		OH
6	251J00000X	Nursing Care Agency		OH
7	253Z00000X	In Home Supportive Care Agency		OH

General Provider Information

NPI Number	:	1396156576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANEL BARKER LPN

Provider Business Mailing Address
First Line	:	2204 HUGHEY SQUARE CT
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-3690
Country	:	US
Telephone Number	:	614-989-2758
Fax Number	:

Provider Business Practice Location Address
First Line	:	3296 WESTERVILLE RD STE 1069
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3790
Country	:	US
Telephone Number	:	614-383-9964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2014
Last Update Date	:	10/02/2025

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