Active NPI
Shanning Renee Levi
- Licensed Practical Nurse
- Lake Charles, LA
National Provider Identifier
1033859301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 30004990
- Practice address
- 4401 5TH Ave # A3
Lake Charles, LA 70607-2832 - Phone
- (337) 802-6724
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | LA | ||
| Licensed Practical Nurse | 164W00000X | 30004990 | LA | Primary |
Addresses
Primary practice location
4401 5TH Ave # A3
Lake Charles, LA 70607-2832
Mailing address
6859 Tom Hebert Rd #503
Lake Charles, LA 70607-2832
Phone (337) 802-6724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30004990 | LA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754784000000",
"number": "1033859301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6859 TOM HEBERT RD #503",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706072832",
"telephone_number": "337-802-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 5TH AVE # A3",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706072832",
"telephone_number": "337-802-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVI",
"first_name": "SHANNING",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2025-08-10",
"certification_date": "2025-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "LA",
"license": "30004990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.