Active NPI
El Shaddai Psychiatric Clinic Dba Advent Health Clinic
- Family Nurse Practitioner
- Gonzales, LA
National Provider Identifier
1194486241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EL SHADDAI PSYCHIATRIC CLINIC DBA ADVENT HEALTH CLINIC
- Practice address
- 218 E Josephine St
Gonzales, LA 70737-3134 - Phone
- (225) 673-1088
- Fax
- (225) 673-1324
- NPI assigned
- Dec 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandrine Nkouga
- Title
- Owner
- Phone
- (225) 577-9009
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
218 E Josephine St
Gonzales, LA 70737-3134
Mailing address
218 E Josephine St
Gonzales, LA 70737-3134
Phone (225) 673-1088
Other practice location 1
1314 S Horseback Ct
Wichita, KS 67230-7819
Phone (774) 285-2210
National Provider Directory
National Provider DirectoryLocations
218 E Josephine St
Gonzales, LA 70737
37283 Swamp Rd
Prairieville, LA 70769
Phone (225) 744-1717
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1679217947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1194486241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 E JOSEPHINE ST",
"city": "GONZALES",
"state": "LA",
"postal_code": "707373134",
"telephone_number": "225-673-1088",
"fax_number": "225-673-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 E JOSEPHINE ST",
"city": "GONZALES",
"state": "LA",
"postal_code": "707373134",
"telephone_number": "225-673-1088",
"fax_number": "225-673-1324"
}
],
"practiceLocations": [
{
"address_1": "1314 S Horseback Ct",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672307819",
"country_code": "US",
"telephone_number": "774-285-2210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EL SHADDAI PSYCHIATRIC CLINIC DBA ADVENT HEALTH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-30",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "NKOUGA",
"authorized_official_first_name": "SANDRINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-577-9009"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.