Shelli Rodriguez Ergen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP07576 Issued in LA

Practice address

1111 Medical Center Blvd
Suite South 113
Marrero, LA 70072-3151

Phone

(504) 349-6520

Fax

(504) 349-6522

NPI assigned

Oct 2, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Bopp Dermatology and Facial Plastic Surgery

  • Specialist
  • Metairie, LA
  • NPI 1699148882
  NPD (past)

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

{
    "created_epoch": "1475366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475366400000",
    "number": "1376092379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE SOUTH 113",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6520",
            "fax_number": "504-349-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE SOUTH 113",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6520",
            "fax_number": "504-349-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERGEN",
        "first_name": "SHELLI",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-02",
        "last_updated": "2016-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellocare LLC
• Emergency Physicians Center
• Eml Professional, LLC
• Endocrinology & Diabetes Associates
• Christopher Allan Entwisle, RPH
• Erich O Richter MD a Professional Medical LLC
• Essence of Beauty LLC
• Jill Estes, B.S.
• Patricia C Estrada, M.D.
• Charles Tilden Everson, MD

• Family Nurse Practitioner in Marrero, LA
• Providers in Marrero, 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 Oct 2, 2016; 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.