Individual provider Active NPI

Lenora Shelby-Edwards

  • Social Worker
  • Metairie, LA
National Provider Identifier
1497297162
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
W5049 Issued in MS
Practice address
4201 N I 10 Service Rd W
Metairie, LA 70006-6713
Phone
(832) 418-7201
NPI assigned
Nov 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X W5049 MS Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

4201 N I 10 Service Rd W
Metairie, LA 70006-6713

Mailing address

500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817
Phone (832) 418-7201

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
W5049MSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1478995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482019200000",
    "number": "1497297162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR STE 102",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334411817",
            "telephone_number": "832-418-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N I 10 SERVICE RD W",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066713",
            "telephone_number": "832-418-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY-EDWARDS",
        "first_name": "LENORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-13",
        "last_updated": "2016-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "W5049",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.