Individual provider Active NPI

Shawn Elizabeth Donelon, M.D.

  • Internal Medicine Physician
  • Alexandria, LA
National Provider Identifier
1447240700
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.025456 Issued in LA
Practice address
1587 N Bolton Ave
Suite 1100
Alexandria, LA 71303-4205
Phone
(318) 445-9823
Fax
(318) 445-1509
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 025456 LA
Internal Medicine Physician 207R00000X MD.025456 LA Primary
Nephrology Physician 207RN0300X MD.025456 LA

Addresses

Primary practice location

1587 N Bolton Ave
Suite 1100
Alexandria, LA 71303-4205

Mailing address

1587 N Bolton Ave
Suite 1100
Alexandria, LA 71303-4205
Phone (318) 445-9823

Other identifiers 1

IdentifierTypeStateIssuer
1575267MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025456LAMDNephrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1447240700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 N BOLTON AVE",
            "address_2": "SUITE 1100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034205",
            "telephone_number": "318-445-9823",
            "fax_number": "318-445-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 N BOLTON AVE",
            "address_2": "SUITE 1100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034205",
            "telephone_number": "318-445-9823",
            "fax_number": "318-445-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONELON",
        "first_name": "SHAWN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "025456",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.025456",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.025456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575267",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.