Shaundreca Love, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

208388 Issued in LA

Practice address

710 Versailles Blvd
Alexandria, LA 71303-2351

Phone

(318) 449-4474

Fax

(318) 449-4472

NPI assigned

Aug 27, 2019

Last updated

Apr 8, 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

Electronic endpoints 2

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winn Community Health Center, Inc.Group PAC ID 2567516545, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 35)

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.

• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1275769119
  Medicare reassignment Care Compare group NPD
• Hari Srinivasa

  dba Louisiana Autism Center

  • Assistant Behavior Analyst
  • Alexandria, LA
  • NPI 1619693934
  NPD
• Winn Community Health Center, Inc.

  dba Cypress Springs ESBC

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1447133459
  NPD
• Fairway Counseling Agency, Inc.

  dba Phoenix Family Life Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, LA
  • NPI 1912281031
  NPD (past)
• Our Lady of the Lake Assumption Community Hospital

  dba Assumption Community Hospital

  • Rural Health Clinic/Center
  • Napoleonville, LA
  • NPI 1710975545
  NPD (past)
• Winn Community Health Center, Inc.

  dba Rosenthal Montessori Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1013605823
  NPD (past)
• Winn Community Health Center, Inc.

  dba Caroline Dorman Jr High School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Woodworth, LA
  • NPI 1093402059
  NPD (past)
• Winn Community Health Center, Inc.

  dba Peabody Montessori Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1285498089
  NPD (past)
• Winn Community Health Center, Inc.

  dba South Grant Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Dry Prong, LA
  • NPI 1891559688
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1447808118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 RIDGEWOOD BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033320",
            "telephone_number": "318-481-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 VERSAILLES BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032351",
            "telephone_number": "318-449-4474",
            "fax_number": "318-449-4472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5448 Provine Pl",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713033982",
            "country_code": "US",
            "telephone_number": "318-545-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 S MacArthur Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713012951",
            "country_code": "US",
            "telephone_number": "318-545-1243",
            "fax_number": "337-735-7858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 Highway 402 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Napoleonville",
            "state": "LA",
            "postal_code": "703902217",
            "country_code": "US",
            "telephone_number": "985-369-1083",
            "fax_number": "985-369-1085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2036 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713016439",
            "country_code": "US",
            "telephone_number": "318-641-0444",
            "fax_number": "318-641-6118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Brevard Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713033997",
            "country_code": "US",
            "telephone_number": "318-545-2451",
            "fax_number": "866-990-8296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "SHAUNDRECA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "208388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slove1303455@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "slove1303455@direct.casso.us.com",
            "address_1": "143 Highway 402 Ste 4",
            "city": "Napoleonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703902217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "143 Highway 402 Ste 4",
            "city": "Napoleonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703902217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Louisiana Professional Consulting, LLC (Acadian Oral Surgery)
• Louisiana Sleep Health, LLC
• Louisiana Special Education Center (Transitional Family Life Center)
• Louisiana Special Education Center
• Louisiana State University Health Sciences Center (HPL Family Medicine Clinics)
• Loving Hearts and Hands Agency
• Carlton E Lowe
• Beverly Sue Lowentritt, FNP
• Leo L Lowentritt, MD
• Alexandra Kay Loy, PA

• Psychiatric/Mental Health Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, 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 Apr 8, 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.