Individual provider Active NPI

Shondra L. Casby

  • Psychiatric/Mental Health Registered Nurse
  • New Orleans, LA
National Provider Identifier
1528640620
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
213390 Issued in LA
Practice address
1050 S. Jefferson Davis Pkwy
New Orleans, LA 70125
Phone
(504) 821-7085
Fax
(504) 304-2276
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 213390 LA Primary

Addresses

Primary practice location

1050 S. Jefferson Davis Pkwy
New Orleans, LA 70125

Mailing address

1050 S Jefferson Davis Pkwy Ste 325
New Orleans, LA 70125-1234
Phone (504) 821-7085

Other identifiers 1

IdentifierTypeStateIssuer
7930114737MedicaidLA

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
213390LAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Resources for Human Development PastSince May 16, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1528640620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S JEFFERSON DAVIS PKWY STE 325",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251234",
            "telephone_number": "504-821-7085",
            "fax_number": "504-304-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S. JEFFERSON DAVIS PKWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70125",
            "telephone_number": "504-821-7085",
            "fax_number": "504-304-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASBY",
        "first_name": "SHONDRA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "LA",
            "license": "213390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7930114737",
            "state": "LA"
        }
    ],
    "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 Apr 27, 2021; 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.