Active NPI
Noire Healthcare LLC
- Family Nurse Practitioner
- Baton Rouge, LA
National Provider Identifier
1043973696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shamelle Beaulieu, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | noirehealthcare |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1306369616
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.