Active NPI
Shaquna Defils
- Counselor
- Gonzales, LA
National Provider Identifier
1679158018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 808 Huey Andrew Ave
Gonzales, LA 70737-5817 - Phone
- (337) 761-7975
- NPI assigned
- Mar 17, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
808 Huey Andrew Ave
Gonzales, LA 70737-5817
Mailing address
808 Huey Andrew Ave
Gonzales, LA 70737-5817
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3378284225 | Other | PRIVATE | |
| 217636598 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | No |
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": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1679158018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 HUEY ANDREW AVE",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 HUEY ANDREW AVE",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375817",
"telephone_number": "337-761-7975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFILS",
"first_name": "SHAQUNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-17",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE",
"identifier": "3378284225",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217636598",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "No",
"affiliation": "N",
"address_1": "808 Huey Andrew Ave",
"city": "Gonzales",
"state": "LA",
"country_code": "US",
"postal_code": "707375817",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.