Organization Active NPI

Noire Healthcare LLC

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1043973696
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NOIRE HEALTHCARE LLC
Practice address
6233 Marionette Dr
Baton Rouge, LA 70811-2446
Phone
(225) 217-5411
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Mrs. Shamelle Beaulieu, FNPNPI 1306369616
Title
Owner
Phone
(225) 284-5741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6233 Marionette Dr
Baton Rouge, LA 70811-2446

Mailing address

PO Box 73232
Baton Rouge, LA 70874-3232
Phone (225) 284-5741

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL noirehealthcare

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1043973696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73232",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708743232",
            "telephone_number": "225-284-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 MARIONETTE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708112446",
            "telephone_number": "225-217-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOIRE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "SHAMELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-284-5741",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "noirehealthcare",
            "affiliation": "N",
            "address_1": "6233 Marionette Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708112446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.