Individual provider Active NPI

Kawana Shanta Lockwood, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Denham Springs, LA
National Provider Identifier
1386146785
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP09852 Issued in LA
Practice address
106 Business Park Ave
Denham Springs, LA 70726
Phone
(888) 417-5250
Fax
(225) 341-8756
NPI assigned
Mar 2, 2018
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP09852 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP09852 LA Primary

Addresses

Primary practice location

106 Business Park Ave
Denham Springs, LA 70726

Mailing address

157 E Lakeview Dr
La Place, LA 70068-2411
Phone (601) 278-9688

Other practice location 1

157 E Lakeview Dr
LA Place, LA 70068-2411
Phone (601) 278-9688

Other names 1

  • Kawana Shanta Hardin Former name

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
I20180531000769 LA Practitioner - Nurse Practitioner 3870858418 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthremede, LLCGroup PAC ID 1850520057, 9 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

13201 Hwy 73
Suite 102
Geismar, LA 70734-3091
Phone (225) 673-2088

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

3235 Perkins Rd
Baton Rouge, LA 70808-2256
Phone (225) 387-3030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP09852LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 28, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince May 28, 2018 Accepting new patients
LCMC Urgent Care LLC CurrentSince Jan 28, 2023 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Essential Mental Health and Wellness, LLC Psychiatric/Mental Health CurrentSince Jul 20, 2024 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince May 1, 2025 Accepting new patients
Belle Chasse Emergency Group LLC Nurse Practitioner CurrentSince May 14, 2018 Accepting new patients
Laroque LLC PastSince Sep 17, 2023 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ochsner Pharmacy and Wellness, LLC Past Accepting new patients
The Wellness Studio, LLC Past Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients
Healthremede Urgent Care, LLC PastSince Dec 14, 2015 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

5703 Essen Ln
Ste 6
Baton Rouge, LA 70810

711 E Ascension St
Gonzales, LA 70737
Phone (225) 228-7497

2800 Veterans Memorial Blvd
Ste 102
Metairie, LA 70002

1221 S Clearview Pkwy
Bldg A
New Orleans, LA 70121
Phone (504) 842-3510

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1409 E 70th St
Ste 118
Shreveport, LA 71105

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

2600 Belle Chasse Hwy
Ste B2
Terrytown, LA 70056
Phone (504) 309-7108

Interoperability endpoints

  • Direct secure messaging: klockwood197895@direct.ochsner.org
  • Direct secure messaging: klockwood28181@brgeneralhealthsystem.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1386146785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E LAKEVIEW DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682411",
            "telephone_number": "601-278-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BUSINESS PARK AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "70726",
            "telephone_number": "888-417-5250",
            "fax_number": "225-341-8756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 E Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "LA Place",
            "state": "LA",
            "postal_code": "700682411",
            "country_code": "US",
            "telephone_number": "601-278-9688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "KAWANA",
        "middle_name": "SHANTA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09852",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAWANA",
            "last_name": "HARDIN",
            "middle_name": "SHANTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.