Individual provider Active NPI

Shelita Spears King, FNP-C

  • Family Nurse Practitioner
  • Baker, LA
National Provider Identifier
1750854311
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200698 Issued in LA
Practice address
6404 Groom Rd
Baker, LA 70714-4364
Phone
(225) 614-9065
Fax
(877) 270-0561
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 200698 LA Primary

Addresses

Primary practice location

6404 Groom Rd
Baker, LA 70714-4364

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (844) 630-0700

Other practice location 1

2314 S Range Ave
Denham Springs, LA 70726-5216
Phone (225) 480-4080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shelita.king@centerwell.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190307002370 LA Practitioner - Nurse Practitioner 2466791561 Reassigns benefits to 2 organizations
I20210528001176 NJ Practitioner - Nurse Practitioner 2466791561

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30799 Lamadeline Court
Denham Springs, LA 70726

4700 Millenia Lakes Blvd
Orlando, FL 32839-7823

PO Box
Belfast, ME 04915

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200698LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care la PC CurrentSince Apr 25, 2022 Accepting new patients
Centerwell Senior Primary Care (la) PC CurrentSince Apr 25, 2022 Accepting new patients
Vpa PC CurrentSince Jan 26, 2026 Accepting new patients
Vpa PC CurrentSince Jan 26, 2026 Accepting new patients
Centerwell Senior Primary Care (la) PC Current Accepting new patients
Osh-in Physicians Group, PC Family Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Orlando, FL 32839
Phone (407) 924-2399

6404 Groom Rd
Baker, LA 70714
Phone (225) 614-9065

2900 E Texas St
Ste 100
Bossier City, LA 71111
Phone (318) 606-6737

2314 S Range Ave
Denham Springs, LA 70726
Phone (225) 480-4080

201 Victory Blvd
Ste 200
Monroe, LA 71203
Phone (877) 917-7010

Interoperability endpoints

  • Direct secure messaging: shelita.king@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: shelita.king.1@29601.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1750854311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "844-630-0700",
            "fax_number": "877-374-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 GROOM RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144364",
            "telephone_number": "225-614-9065",
            "fax_number": "877-270-0561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2314 S Range Ave",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707265216",
            "country_code": "US",
            "telephone_number": "225-480-4080",
            "fax_number": "877-485-4275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "SHELITA",
        "middle_name": "SPEARS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "200698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelita.king@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6404 Groom Rd",
            "city": "Baker",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707144364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baker, LA

Sources for this page

Verify at the official NPI Registry.