Active NPI
Shirleen Watson Pannia, FNP
- Family Nurse Practitioner
- New Orleans, LA
National Provider Identifier
1700335213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0816930
- Practice address
- 2930 Canal Street
Suite 401
New Orleans, LA 70119 - Phone
- (504) 821-2574
- Fax
- (504) 821-2595
- NPI assigned
- Sep 26, 2016
- Last updated
- May 1, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0816930 | LA | Primary |
Addresses
Primary practice location
2930 Canal Street
Suite 401
New Orleans, LA 70119
Mailing address
2930 Canal St Ste 401
New Orleans, LA 70119-6367
Phone (504) 821-2574
Other practice location 1
4502 General Meyer Ave
New Orleans, LA 70131-3531
Phone (504) 333-5016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP09034 | Other | LA | APRN |
Other names 1
- Ms. Shirleen Martha Watson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0816930 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Health and Testing Services, LLC | Current | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15990/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- New Orleans, LA
- NPI 1730833781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651363200000",
"number": "1700335213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 CANAL ST STE 401",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196367",
"telephone_number": "504-821-2574",
"fax_number": "504-821-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 CANAL STREET",
"address_2": "SUITE 401",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70119",
"telephone_number": "504-821-2574",
"fax_number": "504-821-2595"
}
],
"practiceLocations": [
{
"address_1": "4502 General Meyer Ave",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701313531",
"country_code": "US",
"telephone_number": "504-333-5016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANNIA",
"first_name": "SHIRLEEN",
"middle_name": "WATSON",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2022-05-01",
"certification_date": "2022-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "F0816930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "AP09034",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRLEEN",
"last_name": "WATSON",
"middle_name": "MARTHA",
"prefix": "MS.",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
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 May 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.