Shane C Landreaux

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

AP04669 Issued in LA

Practice address

1541 Tulane Ave
RM 505
New Orleans, LA 70112-2821

Phone

(877) 271-4597

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Children'S Hospital

  • Specialist
  • New Orleans, LA
  • NPI 1306156138

  Nurse Practitioner

  Medicare reassignment NPD
• North Oaks Medical Center, LLC

  • General Acute Care Hospital
  • Hammond, LA
  • NPI 1972630705
  Medicare reassignment NPD
• Thibodaux Regional Network Development Corporation

  • Anesthesiology Physician
  • Thibodaux, LA
  • NPI 1285658310
  Medicare reassignment NPD
• Thibodaux Regional Network Development Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Thibodaux, LA
  • NPI 1437664646
  NPD
• Thibodaux Regional Network Development Corporation

  • Clinical Cardiac Electrophysiology Physician
  • Thibodaux, LA
  • NPI 1770435851
  NPD
• Thibodaux Regional Network Development Corporation

  • Diagnostic Radiology Physician
  • Thibodaux, LA
  • NPI 1467427336
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104022011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 TULANE AVE",
            "address_2": "RM 505",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 TULANE AVE",
            "address_2": "RM 505",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122821",
            "telephone_number": "877-271-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDREAUX",
        "first_name": "SHANE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "LA",
            "license": "AP04669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "AP04669",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lance Turkish, M.D.,Apc
• Princess Lanclos
• Robin Ann Landers-Koue
• Steven William Landers
• Ruth W Landis, LCSW,
• Stephen Wayne Landreneau, M.D.
• Baileigh Alexis Landrum, M.S., L-SLP, CCC-SLP
• Anna Grace Landry
• Derrick D Landry
• Emily P Landry, APRN, NNP-BC

• Neonatal Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Neonatal Nurse Practitioner 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.