Shantell Burns, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP08173 Issued in LA

Practice address

16270 Airline Hwy Ste D
Prairieville, LA 70769-4589

Phone

(225) 402-2299

Fax

(866) 258-9870

NPI assigned

Jan 15, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ally Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prairieville, LA
  • NPI 1205463254

  LA

  Medicare reassignment NPD Authorized official
• Collaborative Minds, LLC

  • Adult Mental Health Clinic/Center
  • Baton Rouge, LA
  • NPI 1073863189
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1003205931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1109",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707691109",
            "telephone_number": "225-402-2299",
            "fax_number": "866-258-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16270 AIRLINE HWY STE D",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694589",
            "telephone_number": "225-402-2299",
            "fax_number": "866-258-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "SHANTELL",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allymentalhealth@insyncdirect.com",
            "affiliation": "N",
            "endpointDescription": "In Sync Direct E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16270 Airline Hwy Ste D",
            "city": "Prairieville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707694589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arielle Alicia Brown, PHD
• David Christopher Brown, D.D.S.
• Lanyzha Jvon Brown
• Kiesha G Buckley
• Angelle Budenski
• Trent Edward Burns, DPT
• Toni Duhe Byers, LPC
• Maria Calloway
• Keri Campoblanco, FNP-C
• Capable Kids Pediatric Therapy Services

• All providers in Prairieville, LA
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.