MEDICARE: SHENELL MARTIN

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1447976196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHENELL MARTIN

Provider Business Mailing Address
First Line	:	1185 WALDORF DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-1731
Country	:	US
Telephone Number	:	314-884-8487
Fax Number	:

Provider Business Practice Location Address
First Line	:	1185 WALDORF DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-1731
Country	:	US
Telephone Number	:	314-884-8487
Fax Number	:

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

Provider Enumeration Date	:	10/14/2022
Last Update Date	:	10/14/2022

Similar Medicare Providers

1265158935 — PUZZLE PIECES CONSULTANTS
Practice Location Address:

1185 WALDORF DR
SAINT LOUIS, MO
63137-1731

Practice Phone: 314-884-8487
Practice Fax:

1649477241 — LIFT FOR LIFE ACADEMY
Practice Location Address:

1731 S BROADWAY
SAINT LOUIS, MO
63104-4050

Practice Phone: 314-436-2337
Practice Fax: 314-231-1299

1164838850 — ST LOUIS LANG IMMERSION SCHOOL
Practice Location Address:

4011 PAPIN ST
SAINT LOUIS, MO
63110-1731

Practice Phone: 314-533-0975
Practice Fax: 314-533-0974

1467949842 — A BETTER PLACE HOME CARE LLC
Practice Location Address:

3203 DELOR ST
SAINT LOUIS, MO
63111-1731

Practice Phone: 314-295-4784
Practice Fax:

1871069062 — AFFINIA HEALTHCARE
Practice Location Address:

1731 S BROADWAY
SAINT LOUIS, MO
63104-4050

Practice Phone: 314-814-8700
Practice Fax: 314-814-8542

1043883952 — ROWENA MESSMORE DONAHUE
Practice Location Address:

4011 PAPIN ST
SAINT LOUIS, MO
63110-1731

Practice Phone: 314-534-9270
Practice Fax:

Directions to “ SHENELL MARTIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.