Organization Active NPI

Laced Boutique and Salon LLC

  • General Practice Physician
  • New Orleans, LA
National Provider Identifier
1669256384
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Sep 2, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.