Shambrel Nicole Bates, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

210685 Issued in LA

Practice address

5760 Monticello Dr
Saint Gabriel, LA 70776-4412

Phone

(225) 642-9676

NPI assigned

Jan 24, 2020

Last updated

Apr 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• HIV-AIDS Alliance for Region Two

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1437527900
  Medicare reassignment NPD
• HIV-AIDS Alliance for Region Two

  dba Open Health Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1114803905
  NPD
• HIV-AIDS Alliance for Region Two

  dba Open Health Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1457004186
  NPD
• HIV-AIDS Alliance for Region Two

  dba Open Health Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1316704000
  NPD (past)
• HIV-AIDS Alliance for Region Two

  dba Open Health Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1982436564
  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1285264549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 MONTICELLO DR",
            "city": "SAINT GABRIEL",
            "state": "LA",
            "postal_code": "707764412",
            "telephone_number": "225-642-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 MONTICELLO DR",
            "city": "SAINT GABRIEL",
            "state": "LA",
            "postal_code": "707764412",
            "telephone_number": "225-642-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "SHAMBREL",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "210685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Health Louisiana (East Iberville Elementary High SBHC)
• Access Health Louisiana (MSA Academy East SBHC)
• Betty H Altman, M.D.
• Maria Celeste Baca
• Shelley Rose Barry, PTA
• Beyond Infinity Transportation LLC
• Alexi Adams Breaux, PT
• Wesley Brignac Jr., DDS
• Luis O Campos
• P Danielle Causey, D.D.S.

• Family Nurse Practitioner in Saint Gabriel, LA
• Providers in Saint Gabriel, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.