Shanda Ann Keaton, APRN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

96187 Issued in LA

Practice address

58331 Spring Valley Rd
Bogalusa, LA 70427-0506

Phone

(985) 516-8050

NPI assigned

Jan 3, 2024

Last updated

Jan 3, 2024By 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• M&M Mental Health and Wellnes LLC

  dba M & M Mental Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, LA
  • NPI 1316787914
  Medicare reassignment NPD Authorized official
• Northlake Medical Psychology and Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mandeville, LA
  • NPI 1043692437
  NPD (past)

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1366212276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58331 SPRING VALLEY RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704270506",
            "telephone_number": "985-516-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58331 SPRING VALLEY RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704270506",
            "telephone_number": "985-516-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Saint Ann Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704713394",
            "country_code": "US",
            "telephone_number": "985-516-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATON",
        "first_name": "SHANDA",
        "middle_name": "ANN",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "96187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Jones, CSW
• Serena Catherine Jones, DDS
• Ravi Kanagala, MD
• Brooke L. Kanigowski, RD, LDN
• Ashton Olivia Keaton, LAC
• Linda H Kellar, MSP, CCC
• Dorothy Dittmer Kenda, RD LDN
• David L Killen, D.C.
• Kaleb M. Killens, CRNA
• Kindred Counseling

• Psychiatric/Mental Health Nurse Practitioner in Bogalusa, LA
• Providers in Bogalusa, 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 Jan 3, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.