Individual provider Active NPI

Shane Glass, APRN, NNP-BC

  • Neonatal Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1740718774
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
AP04941 Issued in LA
Practice address
2700 Napoleon Ave
New Orleans, LA 70115-6914
Phone
(504) 842-3663
NPI assigned
Jun 3, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X AP04941 LA Primary

Addresses

Primary practice location

2700 Napoleon Ave
New Orleans, LA 70115-6914

Mailing address

74348 Jack Lloyd Rd
Abita Springs, LA 70420-2732
Phone (985) 264-1353

Other practice location 1

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP04941LAMDNeonatal Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740718774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74348 JACK LLOYD RD",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704202732",
            "telephone_number": "985-264-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NAPOLEON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156914",
            "telephone_number": "504-842-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 S Tyler St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704332330",
            "country_code": "US",
            "telephone_number": "985-898-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "SHANE",
        "name_prefix": "Mrs.",
        "credential": "APRN, NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "LA",
            "license": "AP04941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 2018; 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.