Shelly Sebastien Richard, ANP,C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP06654 Issued in LA

Practice address

501 W Saint Mary Blvd Ste 200
Lafayette, LA 70506-4665

Phone

(337) 470-4500

Fax

(337) 470-4515

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013291350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WEST SAINT MARY BOULEVARD",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-470-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W SAINT MARY BLVD STE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064665",
            "telephone_number": "337-470-4500",
            "fax_number": "337-470-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Church Point",
            "state": "LA",
            "postal_code": "705254402",
            "country_code": "US",
            "telephone_number": "337-684-5232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "SHELLY",
        "middle_name": "SEBASTIEN",
        "name_prefix": "Mrs.",
        "credential": "ANP,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "RN100570-AP06654",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP06654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2170082",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaden Richard
• John F Richard, RPH PHARMACIST
• Kelli-Jo Richard, DC
• Mari-Catherine Guidry Richard
• Martin Richard
• Skylar Richard, FNP
• Tori Richard, PMHNP-BC
• Tyasia Richard
• William R Richard
• Cindy Richards, APRN

• Adult Health Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.