Keioka Shandrea Ford, RN

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

RN151392 Issued in LA

Practice address

2714 Canal St
Ste. 307
New Orleans, LA 70119-5548

Phone

(504) 827-1083

NPI assigned

Apr 24, 2017

Last updated

Apr 24, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Stages of Change

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
  • NPI 1518323674

  Community/Behavioral Health

  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1225563547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 SCOTTSDALE DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701271540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 CANAL ST",
            "address_2": "STE. 307",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195548",
            "telephone_number": "504-827-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KEIOKA SHANDREA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "RN151392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barrett Ford, MD
• Darylene Rebecca Ford
• Enjoli Ford
• Hannah Ford
• Jacqueline Ford
• Lindsay Elise Ford, M.D.
• Mary B Ford, FLP
• Matthew Ford
• Mia Ford, LCSW
• Olivia Ford, FNP-C

• Community/Behavioral Health Agency in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.