Individual provider Active NPI

Shequita Casby, LPN

  • Licensed Practical Nurse
  • New Orleans, LA
National Provider Identifier
1447878715
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
290935 Issued in LA
Practice address
4730 Washington Ave
New Orleans, LA 70125-1226
Phone
(504) 324-3710
Fax
(504) 324-6712
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 290935 LA Primary

Addresses

Primary practice location

4730 Washington Ave
New Orleans, LA 70125-1226

Mailing address

4730 Washington Ave
New Orleans, LA 70125-1226
Phone (504) 324-3710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
290935LAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey House Louisiana, Inc PastSince Jul 19, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1447878715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 WASHINGTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251226",
            "telephone_number": "504-324-3710",
            "fax_number": "504-324-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 WASHINGTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251226",
            "telephone_number": "504-324-3710",
            "fax_number": "504-324-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASBY",
        "first_name": "SHEQUITA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "290935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.