Active NPI
Shandell Simmons
- Case Manager/Care Coordinator
- Avondale, LA
National Provider Identifier
1154795631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 240 Church St
Avondale, LA 70094-2514 - Phone
- (504) 813-8545
- NPI assigned
- Nov 20, 2015
- Last updated
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
240 Church St
Avondale, LA 70094-2514
Mailing address
909 S Broad St
New Orleans, LA 70125-1421
Phone (504) 483-3558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Southeast Louisiana, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1669736740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1154795631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 S BROAD ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701251421",
"telephone_number": "504-483-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 CHURCH ST",
"city": "AVONDALE",
"state": "LA",
"postal_code": "700942514",
"telephone_number": "504-813-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SHANDELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.