Shea Edwards, FNP
Individual provider Active NPI Family Nurse Practitioner · Amite, LA
NPI 1063974913 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1063974913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 204045 (LA)
- Practice address
- 409 NW Central Ave
Amite, LA 70422-2428 - Phone
- (985) 748-7141
- NPI assigned
- Apr 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Service District 2 of the Parish of Tangipahoa State of la
Practice addresses (Care Compare)
301 Walnut St
Amite, LA 70422-2025
Phone (985) 748-9485
Hospital & facility affiliations
- Modern Home Health, Inc
- Hood Memorial Hospital
- North Oaks Medical Center
- Riverside Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190621000780 | LA | Practitioner - Nurse Practitioner | 3577897768 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204045 | LA | MD | Family Nurse Practitioner |
| LA204045 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Service District 2 of the Parish of Tangipahoa State of la. | Family | Current |
Accepting new patients |
| Hospital Service District 2 of the Parish of Tangipahoa State of la. | Current |
Accepting new patients |
Locations
903 W Oak St
Amite, LA 70422
Phone (855) 869-9898
301 Walnut St
Amite, LA 70422
Phone (985) 748-7141
409 NW Central Ave
Amite, LA 70422
Phone (985) 748-7141
Interoperability endpoints
- shea.edwards.1@17916.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | LA204045 | LA | |
| Family Nurse Practitioner | 363LF0000X | 204045 | LA | Yes |
Addresses
Primary practice location
409 NW Central Ave
Amite, LA 70422-2428
Mailing address
409 NW Central Ave
Amite, LA 70422-2428
Other providers in Amite, LA
- Shauntrel Douglas-Williams
- Drive-in Drug Store LLC
- Linda Ann Dubret
- Pamela Dominique Dufren
- Makayla Dyson
- Efficient Care
- Efficient Care, LLC
- Efficient Care, LLC
- Catherine Estay
- Tara Gaudet Estay
All providers in Amite, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.