Individual provider Active NPI

Krystle Cash-Shaw, NP-C

  • Family Nurse Practitioner
  • Natchitoches, LA
National Provider Identifier
1285284612
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
208051 Issued in LA
Practice address
1640 Breazeale Springs St
Natchitoches, LA 71457-4278
Phone
(318) 352-9299
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 208051 LA Primary

Addresses

Primary practice location

1640 Breazeale Springs St
Natchitoches, LA 71457-4278

Mailing address

447 Bethany Church Rd
Quitman, LA 71268-1025
Phone (318) 243-1904

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200204000720 LA Practitioner - Nurse Practitioner 9638505068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WCS Professional Services of Louisiana LLCGroup PAC ID 7719124080, 22 clinicians

Practice addresses (Care Compare)

620 E College St
Homer, LA 71040-3202
Phone (504) 609-3282

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restorixhealth at-Home, LLC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
A Plus Medical of Ruston LLC CurrentSince Mar 25, 2020 Accepting new patients
WCS Professional Services of Louisiana, LLC Nurse Practitioner CurrentSince Feb 25, 2022 Accepting new patients
A Plus Medical of Ruston LLC CurrentSince Mar 25, 2020 Accepting new patients

Locations

4820 Medical Dr
Bossier City, LA 71112
Phone (318) 553-3244

620 E College St
Homer, LA 71040
Phone (318) 927-2024

3445 N Causeway Blvd
Ste 600
Metairie, LA 70002
Phone (504) 835-4919

3017 N Causeway Blvd
Ste 203
Metairie, LA 70002
Phone (504) 833-9994

7950 Millhaven Rd
Monroe, LA 71203
Phone (318) 388-3200

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

5266 Commerce St
St Francisvle, LA 70775
Phone (225) 635-3811

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1285284612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 BETHANY CHURCH RD",
            "city": "QUITMAN",
            "state": "LA",
            "postal_code": "712681025",
            "telephone_number": "318-243-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 BREAZEALE SPRINGS ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574278",
            "telephone_number": "318-352-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASH-SHAW",
        "first_name": "KRYSTLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "208051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.