Individual provider Active NPI

Shannon Nicole Laplante Huelsman, P.A.-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1063648467
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1201 Issued in KY
Practice address
2933 Breckenridge LN Ste 103
Louisville, KY 40220-1494
Phone
(502) 394-5678
Fax
(502) 394-5600
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1201 KY Primary
Medical Physician Assistant 363AM0700X PA1201 KY

Addresses

Primary practice location

2933 Breckenridge LN Ste 103
Louisville, KY 40220-1494

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 559-9407

Other names 1

  • Shannon Nicole Laplante Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon.huelsman.1@15714.direct.athenahealth.com

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shuelsman98411@direct.nortonhealthcare.org
  • Direct secure messaging: shannon.huelsman.1@15714.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1063648467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-559-9407",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 BRECKENRIDGE LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201494",
            "telephone_number": "502-394-5678",
            "fax_number": "502-394-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUELSMAN",
        "first_name": "SHANNON",
        "middle_name": "NICOLE LAPLANTE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1201",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.huelsman.1@15714.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1169 Eastern Pkwy Ste 2265",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "LAPLANTE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.