Individual provider Active NPI

Shawane Nicole Thomas, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1124455605
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP07565 Issued in LA
Practice address
1631 Elysian Fields Ave
New Orleans, LA 70117-8208
Phone
(504) 821-2601
Fax
(888) 736-9806
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP07565 LA Primary

Addresses

Primary practice location

1631 Elysian Fields Ave
New Orleans, LA 70117-8208

Mailing address

1631 Elysian Fields Ave
Credentialing
New Orleans, LA 70117-8208
Phone (504) 821-2601

Other practice location 1

2515 Canal Street
New Orleans, LA 70119
Phone (504) 821-2601

Other identifiers 1

IdentifierTypeStateIssuer
2380125MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131113002000 LA Practitioner - Nurse Practitioner 5294961645 Reassigns benefits to 2 organizations
Practice locations: La Place, LA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lei Behavioral Services LLC CurrentSince Aug 20, 2025 Accepting new patients
No AIDS Task Force CurrentSince Dec 31, 2024 Accepting new patients
No AIDS Task Force CurrentSince Dec 31, 2024 Accepting new patients
Collaborative Minds, LLC Past Accepting new patients
Bridges to Hope LLC Past Accepting new patients

Locations

4300 S I 10 Service Rd W
Ste 215
Metairie, LA 70001
Phone (504) 301-9990

1631 Elysian Fields Ave
New Orleans, LA 70117
Phone (504) 821-2601

2515 Canal St
New Orleans, LA 70119
Phone (504) 821-2601

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1124455605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ELYSIAN FIELDS AVE",
            "address_2": "CREDENTIALING",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701178208",
            "telephone_number": "504-821-2601",
            "fax_number": "888-736-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 ELYSIAN FIELDS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701178208",
            "telephone_number": "504-821-2601",
            "fax_number": "888-736-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Canal Street",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70119",
            "country_code": "US",
            "telephone_number": "504-821-2601",
            "fax_number": "888-736-9806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHAWANE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380125",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.