Lequitsha Shanklin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

215 Bres Ave Ste G
Monroe, LA 71201-5869

Phone

(318) 509-8073

NPI assigned

Jul 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lequitsha Shanklin Warren Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Behavioral Solutions, LLC

  • Community/Behavioral Health Agency
  • Monroe, LA
  • NPI 1952736126
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1083066583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BRES AVE STE G",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015869",
            "telephone_number": "318-509-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BRES AVE STE G",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015869",
            "telephone_number": "318-509-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLIN",
        "first_name": "LEQUITSHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEQUITSHA",
            "last_name": "WARREN",
            "middle_name": "SHANKLIN",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• SFN Professional Management
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• Shane Tewis, DDS of Louisiana, a Professional Dental LLC
• Annsley Walden Shappley
• Shweta Sharan, M.D.
• Daniel Conrid Sharbono, DDS
• Lauren R Sharett, MD
• Gyanendra K Sharma, MD

• Case Manager/Care Coordinator in Monroe, LA
• Providers in Monroe, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.