Individual provider Active NPI

Shanelle R Staten

  • Behavior Analyst
  • New Orleans, LA
National Provider Identifier
1720358757
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2626 Canal St
Suite 201
New Orleans, LA 70119-6400
Phone
(504) 525-2366
NPI assigned
Jan 6, 2012
Last updated
Dec 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LA Primary

Addresses

Primary practice location

2626 Canal St
Suite 201
New Orleans, LA 70119-6400

Mailing address

2626 Canal St
Suite 201
New Orleans, LA 70119-6400
Phone (504) 525-2366

Other names 1

  • Shanelle R Staten Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Children's Bureau of New Orleans PastSince Mar 1, 2021 Accepting new patients
The Children's Bureau of New Orleans Past Accepting new patients

Organizations & group practices 2

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": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1720358757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 CANAL ST",
            "address_2": "SUITE 201",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196400",
            "telephone_number": "504-525-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CANAL ST",
            "address_2": "SUITE 201",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196400",
            "telephone_number": "504-525-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATEN",
        "first_name": "SHANELLE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANELLE",
            "last_name": "STATEN",
            "middle_name": "R",
            "credential": "SOCIAL WORKER",
            "code": "2",
            "type": "Professional 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 Dec 15, 2015; 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.