Active NPI
Shari Ann Taylor
- Nurse Practitioner
- Mandeville, LA
National Provider Identifier
1043395148
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 19, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP03867
- Practice address
- 4050 Lonesome Rd Ste a
Mandeville, LA 70448-7085 - Phone
- (985) 246-2600
- Fax
- (985) 246-2601
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP03867 | LA | Primary |
Addresses
Primary practice location
4050 Lonesome Rd Ste a
Mandeville, LA 70448-7085
Mailing address
4050 Lonesome Rd Ste a
Mandeville, LA 70448-7085
Phone (985) 246-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1195031 | Medicaid | LA |
Other names 1
- Sharissa Ann Spinosa
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03867 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifenet Behavioral Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mandeville, LA
- NPI 1881831683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1043395148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 LONESOME RD STE A",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704487085",
"telephone_number": "985-246-2600",
"fax_number": "985-246-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 LONESOME RD STE A",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704487085",
"telephone_number": "985-246-2600",
"fax_number": "985-246-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SHARI",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP03867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1195031",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARISSA",
"last_name": "SPINOSA",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.