Magnolia Healthcare Providers

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAGNOLIA HEALTHCARE PROVIDERS

Practice address

201 Greenbrier Blvd
Covington, LA 70433-7236

Phone

(985) 224-4135

Fax

(985) 781-4319

NPI assigned

Jun 6, 2025

Organization subpart

No

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

Authorized official

Name

Shani Gorio Booth, APRNNPI 1407087034

Title

Psychiatric Nurse Practitioner

Phone

(985) 507-8346

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shani Gorio Booth, ANP, PMHNP

  • Adult Health Nurse Practitioner
  • Hammond, LA
  • NPI 1407087034

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1265326870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 OX BOW LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337273",
            "telephone_number": "985-507-8436",
            "fax_number": "985-781-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GREENBRIER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337236",
            "telephone_number": "985-224-4135",
            "fax_number": "985-781-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTHCARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "SHANI",
        "authorized_official_middle_name": "GORIO",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "985-507-8346",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Maestri, APRN-CNP
• Barrett Magee
• Earl Kyle Magee, M.D.
• Lisa W Magliolo, FNP
• Magnolia Dental LLC
• Aiman Mahfouz, D.ABNM
• Kathleen Ann Mahl, APRN
• Ashlynn Volpe Mahoney, PHARMD
• Faizan Iqbal Malik, MD
• Christel Cary Malinski, MD

• Psychiatric/Mental Health Nurse Practitioner in Covington, LA
• Providers in Covington, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.