Individual provider Active NPI

Shirleen Watson Pannia, FNP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1700335213
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0816930 Issued in LA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AP09034OtherLAAPRN

Other names 1

  • Ms. Shirleen Martha Watson Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0816930LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Health and Testing Services, LLC Current Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.