Active NPI
Laced Boutique and Salon LLC
- General Practice Physician
- New Orleans, LA
National Provider Identifier
1669256384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LACED BOUTIQUE AND SALON LLC
- Practice address
- 4701 S Carrollton Ave
New Orleans, LA 70119-6026 - Phone
- (504) 494-3895
- NPI assigned
- Aug 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawndrick R. Redding
- Title
- Owner Authorized
- Phone
- (225) 449-0102
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
4701 S Carrollton Ave
New Orleans, LA 70119-6026
Mailing address
4701 S Carrollton Ave
New Orleans, LA 70119-6026
Phone (504) 494-3895
Other names 1
- Elite Medical Center
National Provider Directory
National Provider DirectoryLocations
4701 S Carrollton Ave
New Orleans, LA 70119
Phone (504) 354-1045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1669256384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 S CARROLLTON AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196026",
"telephone_number": "504-494-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 S CARROLLTON AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196026",
"telephone_number": "504-494-3895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LACED BOUTIQUE AND SALON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-23",
"last_updated": "2025-09-02",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "REDDING",
"authorized_official_first_name": "SHAWNDRICK",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER AUTHORIZED",
"authorized_official_telephone_number": "225-449-0102"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.