Shani Gorio Booth, ANP, PMHNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP05920 Issued in LA

Practice address

42334 Deluxe PLZ Ste 2
Hammond, LA 70403-1237

Phone

(985) 662-5520

NPI assigned

Jul 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

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 and National Provider Directory roles.

• Comprehensive Rehab Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  LA, MS, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Magnolia Healthcare Providers

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, LA
  • NPI 1265326870
  NPD Authorized official
• Crossroads Behavioral Health LLC

  • Clinical Psychologist
  • Hammond, LA
  • NPI 1932475266
  NPD (past)
• Louisiana Hyperbarics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Hammond, LA
  • NPI 1487002150
  NPD (past)
• The Bone & Joint Clinic of Hammond, LLC

  • Orthopaedic Surgery Physician
  • Hammond, LA
  • NPI 1992958326
  NPD (past)

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1407087034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 OX BOW LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337273",
            "telephone_number": "985-507-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42334 DELUXE PLZ STE 2",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031237",
            "telephone_number": "985-662-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "SHANI",
        "middle_name": "GORIO",
        "credential": "ANP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP05920",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP05920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1803634",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie D Bonds, NEMT PROVIDER
• Jordan Joseph Bonfiglio, DPT
• Melinda Flocke Bonner, PA-C
• Hollie Bono
• Dennis Joseph Booth, M.D.
• Alyson Rose Bordelon
• Jessica Bosch Bordelon, APRN
• Lisa G. Bordok, SPEECH PATHOLOGIST
• Julie Ann Dardar Borrouso, PHARM D
• Frances Honelle Boudreaux-Pearson, RPH

• Adult Health Nurse Practitioner in Hammond, LA
• Providers in Hammond, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.