Leslie Brooks Shinpoch, CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

033127 Issued in LA

Practice address

1400 E Bert Kouns Industrial Loop
Suite 100
Shreveport, LA 71105-5603

Phone

(318) 795-0425

Fax

(318) 795-9155

NPI assigned

Jul 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073530721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 SURREY LN",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115540",
            "telephone_number": "318-742-2638",
            "fax_number": "318-795-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055603",
            "telephone_number": "318-795-0425",
            "fax_number": "318-795-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINPOCH",
        "first_name": "LESLIE",
        "middle_name": "BROOKS",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "033127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viraj Shetty, MD
• Claire Shidler
• Raynell Shield
• Carlina Shields
• Shining Star Professional Services Inc
• Faith Olivia Shipley
• Bethany Longino Shirley, APRN, NP-C
• Juliette Shivers, NUTRION PROFESSIONAL
• Hosein M Shokouh-Amiri, M.D.
• Sophia Tayebeh Shokouh-Amiri, MD

• Registered Nurse in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.