Individual provider Active NPI

Brittany Shaw, APRN, FNP-BC

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1073905923
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R888982 Issued in MS
Practice address
1050 River Oaks Dr Ste 100
Flowood, MS 39232-9564
Phone
(601) 200-4760
Fax
(601) 200-4742
NPI assigned
Mar 2, 2015
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R888982 MS Primary

Addresses

Primary practice location

1050 River Oaks Dr Ste 100
Flowood, MS 39232-9564

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (601) 200-4760

Other practice location 1

2375 Gause Blvd E
Slidell, LA 70461-4142
Phone (985) 645-9000

Other practice location 2

4402 E Aloha Dr
Suite 16
Diamondhead, MS 39525-3349
Phone (228) 364-9001

Other practice location 3

1839 Cooper Rd Ste 100
Picayune, MS 39466
Phone (769) 242-1700

Other practice location 4

205A Belle Meade Pt
Flowood, MS 39232-3311
Phone (601) 200-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150317001190 MS Practitioner - Nurse Practitioner 8426375106 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 River Oaks Dr
Flowood, MS 39232-9564
Phone (601) 200-4760

106 Highland Way
Madison, MS 39110-6933

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maxem Health Urgent Care Flowood CurrentSince Nov 22, 2022 Accepting new patients
St Dominic Medical Associates LLC CurrentSince Mar 21, 2023 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Dec 10, 2020 Accepting new patients
St. Dominic Medical Associates LLC CurrentSince Mar 21, 2023 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Dec 10, 2020 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients
St Dominic Medical Associates LLC Family Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

4402 E Aloha Dr
Ste 16
Diamondhead, MS 39525
Phone (228) 364-9001

1050 River Oaks Dr
Ste 100
Flowood, MS 39232
Phone (601) 200-4750

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

1839 Cooper Rd
Picayune, MS 39466
Phone (601) 651-3500

1839 Cooper Rd
Ste 100
Picayune, MS 39466
Phone (601) 651-3500

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1073905923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "601-200-4760",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RIVER OAKS DR STE 100",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329564",
            "telephone_number": "601-200-4760",
            "fax_number": "601-200-4742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2375 Gause Blvd E",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704614142",
            "country_code": "US",
            "telephone_number": "985-645-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4402 E Aloha Dr",
            "address_2": "Suite 16",
            "address_purpose": "LOCATION",
            "city": "Diamondhead",
            "state": "MS",
            "postal_code": "395253349",
            "country_code": "US",
            "telephone_number": "228-364-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1839 Cooper Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "39466",
            "country_code": "US",
            "telephone_number": "769-242-1700",
            "fax_number": "769-242-2148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205A Belle Meade Pt",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392323311",
            "country_code": "US",
            "telephone_number": "601-200-5678",
            "fax_number": "601-992-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BRITTANY",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R888982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.