Shanteau Sylvester

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

2169842001400 Issued in LA

Practice address

100 Handy Hill Rd
Mer Rouge, LA 71261-6900

Phone

(318) 372-6927

NPI assigned

Jun 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beautiful Grace, LLC

  dba Beautiful Grace Unique Creations

  • Prosthetic/Orthotic Supplier
  • Mer Rouge, LA
  • NPI 1811513765

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1568088417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HANDY HILL RD",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "712616900",
            "telephone_number": "318-372-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HANDY HILL RD",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "712616900",
            "telephone_number": "318-372-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "SHANTEAU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "2169842001400",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "2169842001400",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "2169842001400",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "2169842001400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Paige Sistrunk, FNP-C
• Allen Larkin Spires, M.D.
• Leslie Spires, PA-C
• Megan Fortenberry Spires, AU.D.
• Sterlington Critical Access Hospital, L.L.C. (Mer Rouge Outpatient Rural Health Clinic)
• Village Pharmacy Inc
• Village Pharmacy of Mer Rouge Inc (Village Pharmacy Inc)
• Village Rural Health Clinic LLC
• Linda K Wright, DDS
• Lanell Younger, LCSW

• Prosthetic/Orthotic Supplier in Mer Rouge, LA
• Providers in Mer Rouge, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.