Active NPI
Matthew Patrick Shields
- Student in an Organized Health Care Education/Training Program
- New Orleans, LA
National Provider Identifier
1639872161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2021 Perdido St
6TH Floor Room 6240
New Orleans, LA 70112 - Phone
- (504) 568-7912
- NPI assigned
- Mar 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2021 Perdido St
6TH Floor Room 6240
New Orleans, LA 70112
Mailing address
2021 Perdido St
6TH Floor Room 6240
New Orleans, LA 70112
Phone (504) 268-0245
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1639872161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 PERDIDO ST",
"address_2": "6TH FLOOR ROOM 6240",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70112",
"telephone_number": "504-268-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 PERDIDO ST",
"address_2": "6TH FLOOR ROOM 6240",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70112",
"telephone_number": "504-568-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "MATTHEW",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-23",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.