Individual provider Active NPI

Shakita Renee Anderson, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1720754369
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220578 Issued in LA
Practice address
12532 Settlement CT
Baton Rouge, LA 70816-1067
Phone
(225) 371-5556
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 220578 LA Primary

Addresses

Primary practice location

12532 Settlement CT
Baton Rouge, LA 70816-1067

Mailing address

12532 Settlement CT
Baton Rouge, LA 70816-1067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211230000592 LA Practitioner - Nurse Practitioner 8224429204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parish State Emergency Physicians LLCGroup PAC ID 5193252203, 25 clinicians

Practice addresses (Care Compare)

2315 E Main St
New Iberia, LA 70560-4031
Phone (337) 364-0441

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
76.46
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220578LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parish State Emergency Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Main Street Emergency Group LLC CurrentSince Oct 1, 2021 Accepting new patients
R.T. Royal Group LLC PastSince Jul 28, 2019 Accepting new patients

Locations

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

Interoperability endpoints

  • Direct secure messaging: shakita.anderson.1@27427.direct.athenahealth.com

Organizations & group practices 3

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1720754369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12532 SETTLEMENT CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12532 SETTLEMENT CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161067",
            "telephone_number": "225-371-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHAKITA",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.